HIM Coder

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Clewiston, FL, US

7 days ago Requisition

About Company:

Hendry Regional Medical Center is THRIVING! We have infused our culture with a focus on positivity for our teams. We know that a Healthy-Happy Workforce creates positive outcomes. Our banner is THRIVE!

T-Trust

We are committed to establishing trust at all levels, understanding that this is the foundation for all human relationships.

H-Honest-Authentic Communication

We understand the importance that communication plays in healthcare-but more importantly the ability to communicate-honestly and authentically is paramount for creating a healthy workforce.

It is not just a word-it is an expectation to give, and receive respect, at every level of our organization.

I-Innovation and Inclusion

We promote inclusion, and embrace understanding that the diversity of inclusion leads to the surprise of innovation! We have great thinkers with great ideas!!

Vulnerability is a critical ingredient in creating trust. We support the effort, even if the outcome is different than expected. We understand the learner-is also a trier which means they don’t always succeed, but they always learn! We are here for each other first!

Our expectation is always to provide excellence-this extends first to each other, by creating a healthy-happy workforce. We provide an environment that Help
Our People to THRIVE by creating JOY at Work!

About the Role:

The HIM Coder I plays a critical role in the accurate and efficient coding of medical records to support healthcare billing, compliance, and data analysis. This entry-level position involves reviewing patient health information and assigning standardized codes for diagnoses, procedures, and services using ICD, CPT, and HCPCS coding systems. The role ensures that all coded data meets regulatory requirements and supports the integrity of patient records and reimbursement processes.

The HIM Coder I collaborates closely with healthcare providers, billing teams, and compliance officers to clarify documentation and resolve discrepancies. Ultimately, this position contributes to the overall quality and accuracy of health information management within the organization.

Minimum Qualifications:

• High school diploma or equivalent required; associate degree in Health Information Management or related field preferred.
• Certification as a Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or an equivalent nationally recognized coding certification
• Basic knowledge of medical terminology, anatomy, and physiology.
• Familiarity with ICD-10-CM, CPT, and HCPCS coding systems.
• Strong attention to detail and ability to interpret clinical documentation accurately.
• Proficiency with computer systems and electronic health records.

Preferred Qualifications:

• Experience working in a healthcare setting or medical coding environment.
• Knowledge of healthcare reimbursement methodologies and compliance regulations.
• Excellent communication skills to effectively interact with clinical and administrative staff.
• Ability to manage multiple tasks and prioritize workload in a fast-paced environment.

Responsibilities:

• Review and analyze patient medical records to identify relevant diagnoses and procedures.
• Assign appropriate ICD-10-CM, CPT, and HCPCS codes based on clinical documentation and coding guidelines.
• Ensure coding accuracy and compliance with federal, state, and payer regulations.
• Collaborate with healthcare providers to clarify documentation and obtain additional information as needed.
• Maintain up-to-date knowledge of coding standards, regulations, and industry best practices.
• Assist in resolving coding discrepancies and support audits or quality assurance activities.
• Utilize electronic health record (EHR) systems and coding software to input and manage coded data.

Skills:

The required skills enable the HIM Coder I to accurately interpret clinical documentation and apply standardized coding systems to ensure precise data capture. Attention to detail is essential for identifying relevant information and avoiding coding errors that could impact billing and compliance. Proficiency with electronic health records and coding software facilitates efficient data entry and record management. Preferred skills such as certification and healthcare experience enhance the coder's ability to navigate complex coding scenarios and regulatory requirements.

Strong communication skills support collaboration with healthcare providers to clarify documentation and resolve coding issues, ensuring the integrity of health information.