HIM Coder Analyst

HIM Coder Analyst II

LOCATION
Fort Worth, Texas | Onsite

COMPENSATION & SCHEDULE
* Pay: $35.00-$40.00/hour
* Schedule: Full-time
* Employment Type: W2

ROLE IMPACT
Support accurate reimbursement, regulatory compliance, and quality reporting by reviewing outpatient medical records and assigning accurate ICD-10-CM and CPT-4 codes. Success in this role is measured by coding accuracy, productivity, effective provider communication, and adherence to coding guidelines and documentation standards.

KEY RESPONSIBILITIES
* Review and interpret outpatient medical records to assign ICD-10-CM and CPT-4 codes with the highest level of specificity for ambulatory surgery, observation, special procedures, emergency department, ancillary, and clinic encounters.
* Code primarily complex ambulatory surgery and observation cases while maintaining a minimum coding accuracy rate of 95%.
* Abstract required clinical and demographic information into the electronic health record to support billing and reporting.
* Submit physician queries to clarify documentation and collaborate with clinical documentation specialists to ensure accurate coding.
* Identify documentation concerns, report risk management issues, and remain current on coding regulations, payer guidelines, and industry updates.

LICENSES & CERTIFICATIONS
* Current RHIA, RHIT, CCS, or CPC certification required.
* Minimum of 2 years of current full-time hospital outpatient coding experience involving ICD-10-CM, CPT-4, ambulatory surgery, observation cases, and medical record abstracting.
* Current AHIMA continuing education certification records required, when applicable.

CLINICAL SKILL SET
* ICD-10-CM and CPT-4 coding
* Hospital outpatient coding
* Ambulatory surgery coding
* Observation encounter coding
* Emergency department coding support
* Medical record abstracting
* Electronic Health Record (EHR) systems
* Automated coding encoders
* Physician documentation queries
* Medicare and Medicaid coding guidelines

PREFERRED SKILLS
* Pediatric coding experience.
* Proficiency with Microsoft Excel and Microsoft Word.
* Strong critical thinking, organization, communication, and independent problem-solving skills with the ability to work with minimal supervision.