Coder I (Medical Coding Specialist, Certified Professional Coder, Medical Billing and Coding Specialist)

Full details are available on our Benefits Page [https://www.augustahealth.com/careers/benefits/].

Job Summary

The Coder I provides duties include reviewing physician documentation as appropriate to extract data and accurately assign proper CPT and ICD-10-CM codes for billing. The coder I performs duties assigned that include excellent communication, accurate medical coding and data entry, and all essential duties of the department as required by the department director.

Shift

Day M-F w/flexibility to meet month end and/or quarterly deadlines.

This position plays a critical role in supporting Augusta Health’s mission and advancing departmental goals through measurable performance indicators and service excellence. This position contributes to a collaborative, patient-centered environment and helps drive outcomes aligned with organizational priorities.

• Essential Job Duties
• Accurately assign appropriate E/M level for all professional fee services within accordance of the CPT and CMS guidelines
• Accurately assign appropriate diagnosis codes
• Understand and maintain education on all CPT/ICD-10/HCPCS guidelines, to include revisions, deletions, additions
• Make necessary changes to claims to ensure accurate billing regarding issues such as modifiers, place of service, proper code selection, and payer specific guidelines
• Communicate effectively with providers/office manager/auditors/billing department to ensure the highest level of service is being captured
• Review providers dictation for office and procedural visits
• Provide technical guidance to physicians and other department staff to include identifying and correcting errors, such as incomplete or missing documentation, instruction on proper code usage in accordance to guidelines, and maintaining an open line of communication at all times.

Required Qualifications • Education

• High School Diploma or equivalent
• Licensure/Certification: CPC Certification
• Experience: None
• Driver's
• License: N/A
• Eligibility to work in the United States and meet Virginia state employment requirements

Preferred Qualifications

• Education: None
• Licensure/Certification: None
• Experience: None
• Prior experience in a hospital, healthcare system, or related service-oriented environment
• Familiarity with Augusta Health’s systems, workflows, or organizational culture is a plus

• Competencies, Knowledge, Skills and Abilities
• Computer Skills such as Microsoft Word and Excel
• Knowledge of hospital based HIM/EHR systems
• Knowledge of NCI systems
• Comprehensive understanding of clinical documentation
• Comprehensive knowledge of anatomy and physiology
• Ability to manage deadlines and complete projects on time
• Ability to identify and resolve problems in a timely manner and develop alternative solutions
• Ability to work independently or in a group setting
• Experience in a medical office/healthcare setting
• Participate in continuing education programs per department guidelines

About Augusta Health

Augusta Health is an independent, nonprofit, mission-driven health system located in Fishersville, Virginia, in the heart of the Shenandoah Valley. We offer a full continuum of inpatient and outpatient services, including Augusta Medical Center—a 255-bed facility—and Augusta Medical Group, which operates 40 practice locations and four urgent care centers. Our commitment to excellence, innovation, and compassionate care makes Augusta Health a leading employer and healthcare provider in the region.

Discover more about our history, values, and community impact on our About Us Page [https://www.augustahealth.com/about-us/].

Equal Opportunity Statement

Augusta Health recruits, hires, and promotes qualified candidates for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran or military discharge status, and family medical or genetic information.

We are committed to fostering a diverse and inclusive workplace in accordance with federal and Virginia state employment laws.