Coder Credentialed

Opelousas General Health System • Opelousas, LA

8d

About The Position

As a Credentialed Coder, you will review clinical documentation and accurately assign diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS classification systems. Your expertise will ensure coding accuracy, compliance with federal and payer regulations, and timely reimbursement for healthcare services.

Requirements

• Demonstrated knowledge of ICD-10-CM, CPT, and HCPCS coding systems.
• Knowledge of CMS regulations, Official Coding Guidelines, and payer policies.
• Proficiency with electronic health records (EHR) and coding software tools.
• Excellent analytical, organizational, and problem-solving skills.
• Successful candidates demonstrate exceptional attention to detail and the ability to interpret complex clinical documentation while applying official coding guidelines accurately.
• They possess strong critical thinking skills to identify documentation inconsistencies and collaborate effectively with providers and interdisciplinary teams.
• Experience with hospital reimbursement methodologies, coding technology, and regulatory compliance enables them to contribute to accurate billing, revenue integrity, and organizational success.

Nice To Haves

• Current certification from AHIMA or AAPC, including one or more of the following: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Outpatient Coder (COC)
• Minimum of 2 years of recent hospital coding experience.

Responsibilities

• Review clinical documentation to accurately assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Level II codes.
• Ensure compliance with federal, state, and payer-specific coding guidelines and regulations.
• Validate medical necessity and documentation completeness to support accurate reimbursement.
• Stay current with annual coding updates, regulatory changes, payer requirements, and reimbursement methodologies.
• Maintain coding productivity and quality standards while meeting established turnaround times.
• Participate in audits and quality assurance activities to monitor coding accuracy and compliance.
• Experience using electronic health records, encoder software, and coding applications.

What This Job Offers

• Career Level: Mid Level
• Education Level: No Education Listed