HIM Coder (Non -Cert)

The Staff PadLas Vegas, NM
3dOnsite

About The Position

The Staff Pad has partnered with a hospital in Las Vegas, New Mexico</b> to recruit an experienced Health Information Management (HIM) Coder</b> to join their on -site team. This individual will be responsible for reviewing, analyzing, and assigning diagnostic and procedural codes for inpatient, outpatient, and/or emergency department medical records using ICD -10 -CM, CPT, and HCPCS</b> coding systems in accordance with official coding guidelines and facility standards.

Requirements

  • High school diploma or equivalent required
  • Minimum of 2 years of experience in a healthcare coding role
  • Strong understanding of ICD -10 -CM, CPT, and HCPCS coding systems
  • Knowledge of CMS guidelines and medical terminology
  • Familiarity with electronic health record (EHR) systems
  • Strong attention to detail and organizational skills

Nice To Haves

  • Associate degree in Health Information Technology or related field preferred

Responsibilities

  • Review and abstract clinical documentation from patient records to assign accurate diagnosis and procedure codes
  • Ensure compliance with federal regulations and hospital policies related to coding and billing
  • Maintain productivity and quality standards established by the HIM department
  • Query physicians when appropriate to ensure accurate and complete documentation
  • Assist in resolving coding -related billing issues or discrepancies
  • Stay current with coding guidelines, payer regulations, and industry best practices
  • Participate in internal audits and ongoing education for coding accuracy and compliance
  • Communicate effectively with physicians, clinical staff, and HIM leadership
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