Coder Hospital

Job Summary

Coders – Hospital are responsible for technical coding, including assignment of ICD-CM/PCS, CPT, and HCPCS codes, modifiers, selection of MD Diagnosis Related Groupings (MS-DRG), Ambulatory Payment Classification (APC), and coding for severity of illness. The role interacts with medical staff, nursing, ancillary departments, provider offices and outside organizations.

• Assist physicians with record documentation needs by requesting clarification for additional information.
• Educate physicians and ancillary staff about documentation needed for the coding process.
• Contact physician offices and/or SBL departments as needed for diagnostic information to code encounters.
• Assist with training new coding staff as requested.
• Code all types of encounters as assigned and assist coworkers as needed.
• Code and finalize inpatient and outpatient technical encounters based on established production standards.
• Meet quality standards of having 95% of diagnoses and procedures appropriately and/or correctly coded.
• Ensure data quality and optimum reimbursement allowable under federal and state payment systems.
• Perform follow‑up on encounters that need to be coded and finalized.
• Review and correct all encounters that are rejected or denied.
• Review records thoroughly to ascertain all diagnoses/procedures and code them in accordance with ICD-CM and CPT coding principles, official guidelines and regulations.

• High School diploma (Required).
• One of the following upon hire:
  Certified Coding Associate (CCA), Certified Coding Specialist – Hospital (CPCS), Certified Professional Coder‑A (CPC‑A), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA).

Based on experience, starting at $22.72 per hour, estimated range $22.72 – $35.22.

Full time, 40 hours per week, 1st shift. Remote work.

Medical Record Management.