CPC Coder

Medical Coder – Multi-Specialty (Hospital & Clinic)

Location: Kingwood or Remote

Employment Type: Full-Time

Reports To: Revenue Cycle Manager

Position Summary

We are seeking a highly skilled, detail-driven, and high-producing certified medical coder with multi-specialty experience to join our growing healthcare organization. This role requires strong proficiency in both hospital and outpatient clinic coding, with specialty expertise in:

• Cardiology
• Urology
• Dermatology
• General Surgery
• Pulmonology

The ideal candidate has 2+ years of coding experience, maintains current certification (AAPC or equivalent), and consistently demonstrates accuracy, productivity, and strong clinical understanding across multiple service lines.

This is a high-impact role within a performance-driven, collaborative organization focused on compliance, precision, and revenue integrity.

Core Responsibilities

Coding & Documentation Review

• Accurately assign ICD-10-CM, CPT, and HCPCS Level II codes for hospital and outpatient encounters
• Review provider documentation to ensure completeness and compliance
• Apply correct modifiers and sequencing for multi-specialty procedures
• Identify documentation gaps and communicate clarification requests when necessary
• Ensure accurate E/M level selection according to current guidelines

Specialty Coding (Required Experience)

• Cardiology: Stress tests, echoes, cardiac caths, arrhythmias, CHF, CAD
• Urology: Cystoscopy, TURP, prostate procedures, kidney stones
• Dermatology: Biopsies, excisions, Mohs, lesion destruction
• General Surgery: Hernia repair, cholecystectomy, minor/major procedures
• Pulmonology: PFTs, bronchoscopy, COPD, sleep apnea

Compliance & Revenue Integrity

• Maintain adherence to CMS, NCCI edits, and payer-specific guidelines
• Ensure accurate HCC/RAF capture where applicable
• Participate in internal audits and quality assurance initiatives
• Maintain productivity benchmarks while preserving coding accuracy

Collaboration

• Work closely with providers to improve documentation quality
• Support billing and RCM teams in claim resolution
• Participate in coding education updates and regulatory changes

Required Qualifications

• Current certification through AAPC (CPC, CPC-H, or equivalent) or AHIMA (CCS, CCS-P)
• Minimum 2+ years of hands-on coding experience
• Experience coding both hospital and outpatient clinic encounters
• Multi-specialty coding experience (cardiology, urology, dermatology, general surgery, pulmonology)
• Strong knowledge of:
• ICD-10-CM
• CPT
• HCPCS
• NCCI edits
• E/M 2021+ guidelines
• HCC/RAF risk adjustment concepts
• Experience with EMR systems (eCW preferred but not required)

Preferred Qualifications

• Experience in high-volume practice settings
• Audit experience or participation in compliance reviews
• Familiarity with V28 risk adjustment updates
• Strong understanding of modifier application and surgical global periods

Performance Expectations

• Maintain ≥ 95% coding accuracy rate
• Meet or exceed established daily/weekly productivity standards
• Maintain timely turnaround on all assigned charts
• Demonstrate proactive communication and ownership
• Contribute to continuous improvement initiatives

What We're Looking For

We are looking for a coder who:

• Is highly organized and efficient
• Thrives in a fast-paced environment
• Has strong clinical reasoning skills
• Takes pride in precision and compliance
• Communicates professionally and clearly
• Understands the financial impact of coding accuracy

Why Join Us?

• Collaborative, supportive leadership
• Multi-specialty exposure
• Growth-focused environment
• Competitive compensation
• Performance-driven culture
• Opportunity to make measurable impact on revenue integrity and compliance

Compensation

Competitive and based on experience. Certification and specialty experience strongly influence compensation range.