Coding Specialist Jobs

About The Position

Requirements

• High school diploma or equivalent required.
• Current, active coding or health information management credential from AHIMA or AAPC, as specified below.
• Ability to interpret medical documentation and apply appropriate coding guidelines across multiple healthcare settings.
• Candidates must possess and maintain at least one current, active credential from the following list: AHIMA Certified Coding Specialist (CCS), Certified Coding Specialist–Physician-Based (CCS-P), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or AAPC Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC).
• Certification must remain active throughout employment.
• Comprehensive knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and official coding guidelines.
• Knowledge of anatomy, physiology, pharmacology, medical terminology, and healthcare documentation requirements.
• Ability to analyze medical records and apply coding guidelines accurately and consistently.
• Strong attention to detail, organization, and time management.
• Ability to meet established productivity and quality standards while maintaining coding accuracy and compliance.
• Effective written and verbal communication skills and the ability to work collaboratively with providers and interdisciplinary teams.
• Ability to maintain confidentiality and exercise sound professional judgment.
• Proficiency with electronic health records, coding software, and related computer applications.

Nice To Haves

• CCS, RHIT, RHIA, or CIC certification.
• Three or more years of medical coding experience.
• Experience coding in a Critical Access Hospital or rural healthcare setting.
• Experience with inpatient, swing bed, Emergency Department, observation, same day surgery, endoscopy, Rural Health Clinic, and outpatient services.
• Familiarity with healthcare billing, charge reconciliation, coding audits, documentation improvement, and regulatory compliance.

Responsibilities

• Review medical records for documentation accuracy, completeness, and coding requirements.
• Assign appropriate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes in accordance with established coding guidelines.
• Code inpatient, swing bed, Emergency Department, observation, same day surgery, endoscopy, Rural Health Clinic, and other outpatient encounters.
• Review and reconcile charges to support accurate billing and reimbursement.
• Identify documentation deficiencies and coordinate appropriate provider queries in accordance with established policies and compliance standards.
• Support internal and external coding audits, record reviews, and corrective action activities.
• Monitor compliance with applicable coding guidelines, regulatory requirements, and reimbursement standards.
• Collaborate with clinical, billing, and Health Information Management staff to resolve coding and documentation discrepancies.
• Participate in quality improvement initiatives and coding education as needed.
• Maintain the confidentiality and security of patient health information in accordance with HIPAA and hospital policies.
• Maintain required professional credentials and participate in continuing education to remain current with coding standards and industry changes.
• Perform other related duties as assigned.