Coder PB | Health Information Management (HIM)

Medical Coding Specialist

Turn accurate coding into cleaner claims, reliable data, and stronger reimbursement.

Work Style: Remote Location Requirement: Must reside in an authorized state (FL, GA, MO, PA, SC, NC, TN, or TX) FTE: Full-Time (1.0 FTE)

Reviews and analyzes medical records to assign appropriate diagnostic and procedural codes in compliance with established coding guidelines and organizational policies.

Collaborates with healthcare providers to clarify documentation and resolves coding discrepancies, ensuring the integrity of coded data for billing and reporting purposes.

Maintains current knowledge of coding standards such as ICD, CPT, and HCPCS, and supports the billing department by providing precise coded information for claims submission.

Includes auditing coded data, training staff on coding procedures, and monitoring coding productivity and quality metrics to enhance departmental performance.

Key Responsibilities

Reviews and analyzes medical records to assign appropriate diagnostic and procedural codes.

Ensures compliance with coding guidelines and organizational policies.

Collaborates with healthcare providers to clarify documentation.

Resolves coding discrepancies and maintains data integrity.

Supports billing department with accurate coded information for claims.

Audits coded data and monitors productivity and quality metrics.

Trains staff on coding procedures and updates

Minimum Requirements

Education

High School Diploma required. Certified Professional Coder (CPC) certification required at time of hire. Please note: CPC-A does not meet the certification requirements for this role.

Experience

3+ years of experience in medical coding and health information management.

Knowledge of ICD, CPT, and HCPCS coding standards.

Experience reviewing medical records and assigning accurate codes.

Other Qualifications

Strong attention to detail and compliance with regulatory requirements.

Ability to collaborate with healthcare providers to clarify documentation.