Hospital Coding Resource

Concord Hospital Health System•Concord, NH

23h

About The Position

Under the general direction of the Director of Health Information Management Services/Privacy Officer and the specific supervision of the Manager Coding, the Hospital Coding Resource serves as an expert resource supporting multi-facility hospital coding operations, clinical documentation, and manual and AI-assisted coding workflows. The role may support inpatient, outpatient, emergency, observation, and specialty services, ensuring coding accuracy, integrity, and compliance through analysis of clinical documentation, validation of manual coding results, and participation in audit and denial mitigation workflows. The position validates AI-generated output, responds to coding and documentation inquiries, leads training efforts, resolves backend edits, and collaborates across departments to improve compliance and reimbursement accuracy. It supports remote and on-site environments and contributes to continuous quality improvement, coder development, and regulatory compliance. The role is classified as sedentary and involves extended periods of computer use and virtual communication. Remote work requires a secure, private workstation, functional remote systems, and adherence to privacy, data security, and remote-work policies.

Requirements

High school diploma or equivalent.
At least one of the following certifications: Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT). CPC-credentialed coders with hospital-based experience may be considered.
Minimum of 4 years of hospital coding experience.
Mastery of ICD-10-CM, ICD-10-PCS, MS-DRG, CPT, and HCPCS Level II.
Knowledge of coding regulatory sources, including CMS, AHA Coding Clinic, and AMA CPT Assistant.
Proficiency with AI-assisted coding platforms, encoders, EHR systems, and data reporting tools.
Proficiency with Microsoft Office tools, particularly Word, PowerPoint, and Excel, and virtual collaboration platforms.
Ability to work independently with minimal supervision while maintaining high performance and productivity in a remote setting.
Analytical ability to interpret trends, identify patterns, and recommend improvements.
Ability to adapt quickly and master complex coding scenarios in teaching-facility or multispecialty healthcare settings.
Experience collaborating across functions with remote and on-site teams.
Willingness to work flexible hours, including weekends or evenings if needed, to support business needs and workflow turnaround times.
Ability to analyze documentation.
Ability to meet the physical requirements of sedentary work, including prolonged sitting, repetitive keyboarding and data entry, and use of visual and auditory perception.

Nice To Haves

Associate’s or Bachelor’s degree in Health Information Management or a related field.
Experience with AI-assisted coding platforms, auditing, denials response, and remote environments.
Demonstrated ability to educate, coach, and mentor coders at all skill levels.

Responsibilities

Serve as a subject matter expert in coding regulations, including ICD-10-CM, ICD-10-PCS, MS-DRG, CPT, NCCI, LCD/NCD, MUE, and OCE.
Validate coding for accuracy, completeness, and compliance using encoder tools and AI-assisted platforms.
Complete yearly competency testing covering organizational compliance education, departmental operations, and regulatory coding standards.
Maintain credentials and continuing education, including education on coding updates, CMS and AMA guidance, and Coding Clinic releases.
Query providers in accordance with query guidelines and compliant query best practices.
Review and resolve backend claim denials and edits; collaborate with Patient Financial Services and billing staff to support clean claim generation.
Provide audit feedback to coders, develop coding education plans, lead peer training, and report audit results and education plans to leadership.
Support system upgrades through workflow testing and optimization of AI-assisted technology.
Escalate documentation issues and system anomalies that may affect coding output.
Conduct and support coding quality reviews, prepare statistical summaries, and provide suggested improvement plans to the manager.
Collaborate with management, revenue integrity, and clinical stakeholders to streamline coding workflows and improve outcomes.
Maintain a professional image and foster accountability, ethical conduct, and continuous learning.
Meet deadlines and remain available during scheduled working hours.
Provide expert support for emergency coverage, special projects, and urgent audits.
Maintain ethical coding practices, confidentiality, integrity, and team collaboration.
Maintain a secure and private home workstation and protect patient privacy and data integrity in accordance with HIPAA and facility policies.
Ensure remote systems are functional, including VPN, encoder, dual monitors, video conferencing, headset, and secure email or chat.
Participate in daily or weekly virtual huddles, screen-sharing education sessions, and documentation reviews.
Respond promptly to requests through email or secure messaging platforms.
Follow remote work policies and system access security protocols.