Coder In Patient - Health Information and Record Management

Title: Coder In-Patient | Health Information & Record Management | Full Time | Day Shift

Location: Leesburg United States

Job Description:

Overview

This position offers flexibility with remote work and is authorized within approved states only (FL, GA, MO, PA, SC, NC, TN, or TX).

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, ensures 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.

Responsibilities

Key Responsibilities

• • Reviews and analyzes medical records to assign accurate diagnostic and procedural codes
• Ensures compliance with coding guidelines and organizational policies
• Collaborates with healthcare providers to clarify documentation and resolve discrepancies
• Maintains the integrity of coded data for billing and reporting purposes
• Supports the billing process by providing accurate coded information for claims submission
• Conducts audits and monitors productivity and quality metrics to drive performance improvement
• Assists in training staff on coding procedures and updates

Qualifications

Education:

• Post-High School Special Training

Licensure/Certification/Registration:

• AAPC or AHIMA Medical Coding Certification
• 3+ years of experience in medical coding or health information management
• Knowledge of ICD-10-CM, CPT, and HCPCS coding standards
• Experience reviewing medical records and assigning accurate codes
• Strong attention to detail with a focus on compliance and regulatory requirements
• Ability to collaborate with healthcare providers to clarify documentation and resolve discrepancies