Sr. Medical Coder

Requirements

• Education A bachelor s degree, preferably in a healthcare-related or science field.
• Experience Minimum 4 to 6 years of exclusive inpatient coding experience in a minimum of 3 acute care hospitals or similar healthcare settings. Strong grip on the physician query process. Strong working knowledge of ICD-10-CM and ICD-10-PCS coding systems. Experience with MS-DRG and APR-DRG assignment methodologies. Familiarity with medical record review processes and clinical documentation improvement (CDI) collaboration. Experience using electronic health records (EHRs) such as EPIC, Cerner, or Meditech. Previous exposure to coding audits and implementing corrective feedback (preferred).
• Required Skills Certification: Current coding certification from AHIMA (e.g., CCS, RHIT, RHIA) or AAPC (e.g., CIC). Strong understanding of: Anatomy physiology Medical terminology Disease processes Official coding guidelines (AHA Coding Clinic, CMS rules) Ability to analyze and abstract complex medical data quickly and accurately. High level of attention to detail and accuracy in code assignment. Proficiency with coding software and encoder tools (e.g., 3M, Tru Code). Ability to work independently and meet productivity and quality benchmarks. Excellent written and verbal communication skills for physician queries and team collaboration. Strong time management and organizational skills in a remote or on-site environment. Commitment to confidentiality and HIPAA compliance.
• Preferred Skills Working experience with multidisciplinary patient services clients (customers) is an added advantage. Knowledge of EPIC, 3M coding, Optum, computer-assisted coding (CAC), abstracting software, Meditech, Clintegrity 360, etc.
• Physical Requirements Flexibility to work overtime or weekends during high-volume periods. If you are passionate about resolving denied claims, improving revenue cycle efficiency, and ensuring compliance with coding standards, we encourage you to apply. Join our team to contribute to the success of our healthcare organization while ensuring optimal reimbursement practices.

Position Responsibilities

1. Perform ICD (International Classification of Diseases) diagnosis/procedure coding CPT (Current Procedural Terminology) coding for clients based on scope of expertise.
2. Review and analyze medical records for DRG/APC assignment to accurately reflect the diagnoses and procedures documented in medical records, particularly as it relates to SOI level, ROM, POA, HAC, and PSI indicators
3. Adhere to the AHA Official Coding Guidelines, AMA CPT Guidelines, and UHDDS definitions.
4. Perform abstracting and data entry of codes and abstract items as pertinent to the clients requirements.
5. Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
6. Participate in communication concerning documentation issues to support accurate coding
7. Achieve and maintain coding Quality and productivity standards for each specific account.
8. Bring identified concerns to the coding manager for resolution
9. Display initiative and support continuous quality improvement efforts
10. Attend all mandatory education sessions as directed as well as tailored education sessions that have been provided based on individual skill and/or knowledge gaps

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