Coder - Full Time

In this role you will be

• Review medical records and clinical documentation to assign accurate and complete diagnosis and procedure codes.
• Apply knowledge of coding systems (ICD-10-CM, ICD-10-PCS, CPT, HCPCS) and coding guidelines (AHA Coding Clinic, CPT Assistant, etc.) to ensure proper code selection.
• Abstract and enter coded data into electronic health record (EHR) and hospital information systems for billing and reporting purposes.
• Ensure compliance with federal, state, and payer-specific coding regulations and hospital policies.
• Work closely with providers and clinical documentation improvement (CDI) teams to clarify ambiguities or incomplete documentation.
• Maintain productivity and coding accuracy benchmarks as defined by the department.
• Support audits and quality reviews by coding leadership or external bodies.
• Assist with mentoring or training junior coding staff as needed.
• Stay updated on coding changes, regulatory updates, and continuing education requirements.

Other duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Qualifications

Required

• EDUCATION: High school graduate or equivalent, associate’s or bachelor’s in health information management or related field preferred
• Experience:
• Coding in acute care hospital or physician office setting with multiple specialties
• Experience with data entry required
• Licensure/Certification:
• Certified coding specialist (CCS) preferred or registered health information technician (RHIT) preferred
• Completion of the IRMC outpatient coding competency test