HIM Coder/Biller

UMC Health System•Richmond, KY

1d•Onsite

About The Position

The HIM Coder/Biller is responsible for the accurate assignment of ICD-10-CM diagnosis codes and resolution of claim edits for outpatient records across the hospital. This role requires maintaining current knowledge of coding guidelines, regulatory requirements, and medical billing processes. The position involves performing coding quality reviews, troubleshooting and resolving errors, and collaborating with internal departments to support efficient revenue cycle operations. The HIM Coder/Biller will also identify process improvement opportunities to prevent billing delays and improve claim accuracy.

Requirements

High School Diploma or GED.
Completion of Medical Record technology program or equivalent job experience.
Experience with billing and clinical EMR software; Epic strongly preferred.
Minimum of two (2) years of medical coding and billing experience preferred, including service areas such as Emergency Department, outpatient, ambulatory, surgery, observation, and clinic/series encounters.
RHIT, RHIA, CCS-P, CPC, or equivalent coding certificate.
Strong working knowledge of ICD-10-CM, CPT, HCPCS, and E/M coding guidelines.
Understanding of medical claims processing and billing functions.
Strong organizational and time management skills.
Ability to prioritize tasks and meet deadlines.
Ability to respond to ever-changing needs and situations.
Strong attention to detail and commitment to accuracy.
Ability to maintain strict confidentiality.

Responsibilities

Assign accurate diagnosis codes for outpatient, ancillary laboratory, and diagnostic services.
Maintain current knowledge of coding guidelines, regulatory requirements, and medical billing processes.
Perform coding quality reviews and audits as assigned.
Troubleshoot and resolve SVC (Simple Visit Coding) errors while identifying process improvement opportunities to prevent billing delays.
Review and resolve claim edits and denials, identifying corrective actions and preventative measures to improve claim accuracy.
Collaborate with internal departments to support efficient revenue cycle operations and issue resolution.
All other duties as assigned by the coding manager.