Role Description
Medical Coder-Professional is responsible for reviewing and coding medical records and documentation for healthcare services rendered. This role ensures that all diagnoses, procedures, and services provided are accurately coded using standardized coding systems (ICD-10, CPT, HCPCS). The coder will ensure compliance with insurance requirements, governmental regulations, and industry standards to facilitate correct reimbursement and support the accurate billing process.
Qualifications
-
High school diploma/GED
-
Preferred: Associate's degree in health information management or medical coding
-
Experience in medical coding or healthcare billing
-
Preferred medical coding certifications (post-hire within one (1) year):
-
Registered Health Information Management Technician (RHIT)
-
Registered Health Information Administrator (RHIA)
-
Certified Coding Associate (CCA)
-
Certified Coding Specialist (CCS)
-
Certified Coding Specialist- Physician-Based (CCS-P)
-
Certified Professional Coder (CPC)
-
Certified Professional Coder (CPC-A)
-
Physician specialty certification from AAPC
Requirements
-
Knowledge of electronic coding systems
-
Proficiency in ICD-10, CPT, and HCPCS coding systems
-
Strong knowledge of outpatient healthcare services and procedures
-
High level of accuracy and attention to detail in reviewing medical records and assigning correct codes
-
Strong verbal and written communication skills
-
Proficiency in electronic health record (EHR) systems and coding software
Responsibilities
-
Review outpatient medical records to assign appropriate ICD-10, CPT, and HCPCS codes
-
Ensure coding accuracy and compliance with regulations, payer policies, and guidelines
-
Work with billing teams to prepare and submit claims, resolving any coding-related denials
-
Collaborate with healthcare providers to clarify documentation and ensure proper code assignment
-
Stay current on coding updates and payer requirements
-
Demonstrate effective communication and response using systems available to both the Hospital Coder and management through telephone and email communication
-
Demonstrate effective use of required software
Environmental and Physical Demands
-
Requires no exposure to unpleasant or disagreeable physical environment
-
No handling or working with potentially dangerous equipment
-
Occasional working hours beyond regularly scheduled hours
-
Occasional travelling to offsite locations
-
Frequent activities subject to significant volume changes of a seasonal/clinical nature
-
Constant work produced is subject to precise measures of quantity and quality
-
Occasional bending, lifting/carrying up to 10 pounds, and up to 25 pounds
-
Frequent sitting, standing, and walking
-
Occasional climbing, twisting, and driving
Time Type
Part time
FLSA Designation/Job Exempt
No
Pay Class
Hourly
FTE %
48.75
Work Shift
Day
Benefits Eligibility
Grant Funded: No
Job Posting Date
04/30/2026