Analysis Skills, Auditing, Billing, Clinical Study Publications, Clinical Support, Coding Standards, Continuous Improvement, Current Procedural Terminology (CPT), Data Quality, Detail Oriented, Documentation, Health Information Management, Healthcare Common Procedure Coding System (HCPCS), Healthcare Providers, ICD-10, International Classification of Diseases (ICD), Maintain Compliance, Medical Coding, Medical Records, Process Improvement, Quality Metrics, Quality Monitoring, Regulations, Regulatory Compliance, Regulatory Requirements, Staff Training, Team Player, Work From Home
Work remotely as part of a collaborative HIM team focused on coding accuracy, compliance, and quality outcomes.
Work Style: Remote
Location Requirement: Must reside in an approved state (FL, GA, MO, PA, SC, NC, TN, or TX)
FTE: Full-Time (1.0 FTE)
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, resolve coding discrepancies, and ensure the integrity of coded data for billing and reporting purposes.
Maintains current knowledge of coding standards, including ICD, CPT, and HCPCS, and supports the billing process by providing accurate coded data for claims submission. Participates in auditing activities, supports staff training on coding procedures, and monitors productivity and quality metrics to drive continuous improvement and enhance departmental performance.
Responsibilities:
Key Responsibilities
- Reviews and analyzes medical records to assign appropriate diagnostic and procedural codes.
- Ensures compliance with coding guidelines, regulatory requirements, and organizational policies.
- Collaborates with healthcare providers to clarify clinical documentation and support coding accuracy.
- Resolves coding discrepancies and maintains the integrity of coded health information.
- Supports the billing and revenue cycle teams by providing accurate coded information for claim submission.
- Conducts coding audits and monitors productivity, quality, and compliance metrics.
- Assists with training and education on coding procedures, guidelines, and regulatory updates.
Qualifications:
Education:
- Post-High School Special Training
Minimum Qualifications
- 3+ years of experience in medical coding and health information management.
- Knowledge of ICD-10-CM/PCS, CPT, and HCPCS coding standards and guidelines.
- Experience reviewing medical records and assigning accurate diagnostic and procedural codes.
- Strong attention to detail with knowledge of regulatory, compliance, and documentation requirements.
- Ability to collaborate with healthcare providers to clarify clinical documentation and support coding accuracy.
Preferred
Licensure/Certification/Registration:
- AAPC or AHIMA Medical Coding Certification