Medical Records Coder

• Review and code inpatient, outpatient, clinic, and ancillary services accurately and efficiently.
• Assign appropriate ICD-10-CM, CPT, and HCPCS codes based on medical documentation.
• Review medical records for completeness, accuracy, and coding compliance.
• Work closely with Health Information Management, providers, and other departments to clarify documentation when needed.
• Ensure coding practices meet applicable regulatory and payer requirements.
• Maintain confidentiality and protect patient health information in accordance with HIPAA.
• Stay current with coding guidelines, regulations, and industry changes.

Requirements

• Previous medical coding or HIM experience preferred.
• Knowledge of ICD-10-CM, CPT, and HCPCS coding systems.
• Strong attention to detail and accuracy.
• Excellent organizational and communication skills.
• Ability to work independently while being part of a collaborative team.
• Experience with an EHR/EMR and coding software preferred.
• Coding certification preferred.