Medical Coder - Full Time

IRMC Career • Indiana, PA

13d • Onsite

About The Position

In this role you will be: Review patient medical records and documentation to identify diagnoses and procedures. Assign accurate and complete ICD-9-CM, CPT, and HCPCS codes based on clinical documentation and coding guidelines. Ensure coding meets all federal, state, and payer-specific requirements. Abstract and enter coded data into electronic health records and hospital information systems. Collaborate with clinical staff or coding team leads to clarify documentation as needed. Maintain productivity and accuracy standards in accordance with departmental policies. Stay current with updates to coding regulations, coding clinics, and payer guidelines. Adhere to HIPAA regulations and all hospital confidentiality and compliance standards. OTHER DUTIES Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Requirements

• High school graduate or equivalent
• Basic knowledge of ICD-10-CM, CPT, and medical terminology.
• Strong attention to detail and analytical skills.

Nice To Haves

• associate’s or bachelor’s in health information management or related field
• Certified coding specialist (CCS)
• registered health information technician (RHIT)
• Completion of the IRMC outpatient coding competency test

Responsibilities

• Review patient medical records and documentation to identify diagnoses and procedures.
• Assign accurate and complete ICD-9-CM, CPT, and HCPCS codes based on clinical documentation and coding guidelines.
• Ensure coding meets all federal, state, and payer-specific requirements.
• Abstract and enter coded data into electronic health records and hospital information systems.
• Collaborate with clinical staff or coding team leads to clarify documentation as needed.
• Maintain productivity and accuracy standards in accordance with departmental policies.
• Stay current with updates to coding regulations, coding clinics, and payer guidelines.
• Adhere to HIPAA regulations and all hospital confidentiality and compliance standards.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED