Medical Coder

At-a-Glance:
Are you ready to build your career by joining a healthcare provider? If so, our client is hiring a Medical Coder.

Position Type:

• Contract
• 13 Weeks Contract
• Onsite (Open to remote )

Required:

• Education:
  • High school diploma or equivalent required
  • Completion of an accredited medical coding program or equivalent post-secondary coding education preferred
• Experience:
  • Minimum 2 years of medical coding experience
  • Critical Access Hospital, community hospital, or multi-service line experience strongly preferred
• Knowledge, Skills, and Abilities:
  • Proficiency in ICD-10-CM/PCS, CPT, HCPCS, and revenue coding
  • Familiarity with DRG, APC, and CAH cost-based reimbursement methodologies
  • Knowledge of UB-04 and CMS-1500 claim formats
  • Experience working in TruBridge or comparable community hospital EHR/PM system preferred
  • Strong attention to detail, analytical skills, and ability to meet productivity standards
• PREFERRED QUALIFICATIONS
  • Associate's degree or higher in Health Information Management or a related field
  • Experience with swing bed and skilled nursing facility coding
• LICENSES AND CERTIFICATIONS
  • Required or strongly preferred: CPC (Certified Professional Coder), CCS (Certified Coding Specialist), CIC (Certified Inpatient Coder), COC (Certified Outpatient Coder), RHIT, or CAH-CBS (Critical Access Hospital Coding and Billing Specialist

Responsibilities:

• Medical Coder is responsible for accurately assigning diagnostic and procedural codes across multiple service lines of the hospital complex, including inpatient acute, emergency, ICU, surgery, outpatient, physician clinic, swing-bed/skilled nursing, assisted living, specialty clinics, and therapy/diagnostics.
• Ensures compliant, complete, and timely coding to support accurate claim submission, appropriate reimbursement, and regulatory compliance for a Critical Access Hospital.
• Assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes to inpatient, outpatient, emergency, surgical, and clinic encounters based on clinical documentation.
• Code across all service lines, including acute inpatient, swing bed, SNF, ER, observation, outpatient surgery, physician clinic (professional services), therapy, and diagnostics.
• Apply appropriate revenue codes, modifiers, and occurrence/value/condition codes for UB-04 and CMS-1500 claim types.
• Ensure coding accuracy and compliance with CMS guidelines, Official Coding Guidelines, LCD/NCD policies, and CAH-specific reimbursement rules.
• Abstract and enter coded data into TruBridge in a timely manner to support claim billing and productivity benchmarks.
• Query providers as needed to clarify documentation for accurate and complete code assignment.
• Identify and communicate clinical documentation deficiencies to clinical staff and leadership.
• Stay current on annual ICD-10, CPT, and HCPCS code updates and payer coding policy changes.
• Support coding audits, compliance reviews, and CAH cost report-related data integrity initiatives.
• Collaborate with billing staff to resolve coding-related claim edits, rejections, and denials.
• Perform other duties as assigned by the Director, CBO or HIM Manager.
• Participate in facility committees or coding/compliance workgroups as requested.

Get in Touch:
We want to hear from you! If you think you'd be a good match, submit your resume and reach out to Priyanshu at View phone number on click.appcast.io to learn more.