Certified Medical Coder

Family Medical Center of Hastings • Hastings, NE

67d

About The Position

The position involves reviewing and analyzing clinical documentation to assign appropriate ICD-10, CPT, and HCPCS codes. The coder will ensure coding accuracy and compliance with federal regulations, payer requirements, and clinic policies. Collaboration with providers, nurses, and clinical staff is essential to clarify documentation when needed. The role also includes abstracting relevant information from patient records to support accurate coding and billing, entering and verifying codes in the electronic health record (EHR) or billing software system, and identifying and resolving coding errors, rejections, and denials in partnership with the billing team. Maintaining current knowledge of coding guidelines, payer rules, and compliance standards (including HIPAA) is crucial. Participation in regular audits and quality assurance activities to ensure documentation supports billed services is expected, along with assisting with staff education and training related to coding and documentation best practices. Protecting patient confidentiality and maintaining the security of all health information is a key responsibility.

Requirements

• Excellent verbal and written communication skills with patients and staff.
• Strong attention to detail and ability to maintain accurate records.
• Knowledge of medical terminology, anatomy, and physiology.
• Proficiency with computers and electronic health records.
• Ability to work independently and as part of a team.
• High school diploma required; Associate degree or diploma in Medical Coding preferred.
• Certified Professional Coder (CPC) or equivalent required within 1 year of hire.
• Minimum of 2 years of current medical coding experience preferred.
• Familiarity with ICD-10, CPT, and HCPCS coding systems and payer guidelines.

Responsibilities

• Review and analyze clinical documentation to assign appropriate ICD-10, CPT, and HCPCS codes.
• Ensure coding accuracy and compliance with federal regulations, payer requirements, and clinic policies.
• Collaborate with providers, nurses, and clinical staff to clarify documentation when needed.
• Abstract relevant information from patient records to support accurate coding and billing.
• Enter and verify codes in the electronic health record (EHR) or billing software system.
• Identify and resolve coding errors, rejections, and denials in partnership with the billing team.
• Maintain current knowledge of coding guidelines, payer rules, and compliance standards (including HIPAA).
• Participate in regular audits and quality assurance activities to ensure documentation supports billed services.
• Assist with staff education and training related to coding and documentation best practices.
• Protect patient confidentiality and maintain the security of all health information.

What This Job Offers

• Education Level: Associate degree