Specialist: Medical Coding

Position Summary Pagosa Springs Medical Center (PSMC) is seeking an experienced and detail‑oriented Medical Coding Specialist to join our Health Information Management (HIM) team. This role is responsible for reviewing and accurately coding medical records utilizing ICD‑10, CPT‑4, and HCPCS coding conventions for both hospital (Critical Access Hospital) and clinic (Rural Health Clinic) services. Key Responsibilities Review medical records and assign accurate diagnosis and procedure codes using ICD‑10, CPT‑4, and HCPCS coding conventions. Code for both Critical Access Hospital (CAH) records and Rural Health Clinic (RHC) records. Analyze provider documentation, lab reports, procedure notes, and clinical records for coding accuracy and completeness. Support accurate and optimal reimbursement for hospital and professional charges. Ensure coding accuracy and compliance with regulatory guidelines and payer requirements. Sequence diagnoses and procedures appropriately according to coding standards. Communicate with providers, nursing staff, and ancillary departments regarding documentation clarification and coding questions. Assist with coding education and documentation improvement efforts. Maintain or exceed 95% coding accuracy and 95% productivity standards. Identify trends or patterns in coding data to support quality improvement initiatives. Assist with audits and compliance reviews as needed. Maintain strict confidentiality of protected health information in accordance with HIPAA regulations. Ensure complete and accurate documentation within established timelines. Qualifications High school diploma or equivalent. Minimum four (4) years of coding experience in a healthcare facility. Experience with Critical Access Hospital (CAH) coding and Rural Health Clinic (RHC) coding. Experience with electronic health records, especially Cerner. National Coding Certification required through either AHIMA or AAPC. Current AHA BLS (Heart‑Saver) certification. Strong knowledge of medical terminology, anatomy and physiology, disease processes, and ICD‑10, CPT, and HCPCS coding standards. Strong analytical and critical thinking abilities; high attention to detail and accuracy. Ability to manage multiple priorities and deadlines. Proficiency with Microsoft Office, data entry and spreadsheets, and electronic health records and coding software. Compensation & Benefits Base compensation range: $22.45 – $34.70 per hour, based on 0‑22 years of relevant experience. Benefits include paid time off, sick leave, health, dental, vision, life and AD&D insurance, long‑term disability and option for short‑term disability, and retirement plan with employer contribution. Equal Opportunity Employer Pagosa Springs Medical Center is an Equal Opportunity Employer. All qualified applicants will be considered for employment, and we will not discriminate against any person on the basis of race, color, national origin, disability, age, sex, religion, creed, ancestry, sexual orientation, marital status, or any other characteristic protected by law. Offers of employment are contingent upon successful completion of a pre‑employment health and drug screen and background check. #J-18808-Ljbffr Pagosa Springs Medical Center