Reviews and analyzes medical records to assign appropriate diagnostic and procedural codes in compliance with established coding guidelines and organizational policies. Collaborates with healthcare providers to clarify documentation and resolves coding discrepancies, ensures the integrity of coded data for billing and reporting purposes. Maintains current knowledge of coding standards such as ICD, CPT, and HCPCS, and supports the billing department by providing precise coded information for claims submission. Includes auditing coded data, training staff on coding procedures, and monitoring coding productivity and quality metrics to enhance departmental performance
vehicle for an assigned business purpose
Responsibilities
Responsibilities:
Reviews and analyzes medical records to assign appropriate diagnostic and procedural codes.
Ensures compliance with coding guidelines and organizational policies.
Collaborates with healthcare providers to clarify documentation.
Resolves coding discrepancies and maintains data integrity.
Supports billing department with accurate coded information for claims.
Audits coded data and monitors productivity and quality metrics.
Trains staff on coding procedures and updates.
Qualifications
Qualifications:
Three (3) or more years of experience in medical coding and Health Information Management (HIM).
Expertise in coding compliance, quality assurance, and coding audits.
Experience coordinating coder training, mentoring, and performance monitoring.
Knowledge of ICD-10-CM/PCS, CPT, and HCPCS coding standards and guidelines.
Strong collaboration and communication skills when working with clinical providers and interdisciplinary teams.
Preferred Experience
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC).
AHIMA Certified ICD-10-CM/PCS Trainer preferred.
Minimum of five (5) years of hospital inpatient and/or outpatient coding and reimbursement experience.
One (1) year of supervisory or team lead experience.
Proficiency with Microsoft Windows and Microsoft Office (Word, Excel, PowerPoint).
Ability to work independently with minimal supervision.
Strong written, verbal, and interpersonal communication skills.
Ability to build positive working relationships with clinical, operational, and coding teams.
Equivalent combinations of education and experience may be considered.
Licensure / Certification
RHIA - Registered Health Information Administrator.
RHIT - Registered Health Information Technician.
CCS - Certified Coding Specialist.
CPC - Certified Professional Coder.
Numbers & Facts
Location
Jacksonville, FL
Skills
Analysis Skillsunmatched
Auditingunmatched
Billingunmatched
Certified Coding Specialist (CCS)unmatched
Certified Professional Coder (CPC)unmatched
Coding Standardsunmatched
Communication Skillsunmatched
Current Procedural Terminology (CPT)unmatched
Data Qualityunmatched
Documentationunmatched
Health Information Managementunmatched
Healthcare Common Procedure Coding System (HCPCS)unmatched
Healthcare Providersunmatched
Hospitalunmatched
ICD-10unmatched
International Classification of Diseases (ICD)unmatched
Interpersonal Skillsunmatched
Leadershipunmatched
Maintain Complianceunmatched
Medical Codingunmatched
Medical Recordsunmatched
Mentoringunmatched
Microsoft Excelunmatched
Microsoft Officeunmatched
Microsoft PowerPointunmatched
Microsoft Windows Operating Systemunmatched
Microsoft Wordunmatched
Outpatient Careunmatched
Patient Careunmatched
Performance Analysisunmatched
Presentation/Verbal Skillsunmatched
Quality Assuranceunmatched
Quality Metricsunmatched
Quality Monitoringunmatched
Registered Health Information Administrator (RHIA)unmatched
Registered Health Information Technician (RHIT)unmatched
Reimbursementunmatched
Staff Trainingunmatched
Team Lead/Managerunmatched
Team Playerunmatched
Training/Teachingunmatched
Writing Skillsunmatched
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