Assign appropriate diagnosis codes (ICD-10-CM) and procedure codes (CPT/HCPCS) to medical records and encounters.
Review and analyze clinical documentation to ensure accurate code assignment and appropriate documentation specificity.
Stay current with coding guidelines and regulations to ensure compliance with healthcare coding standards.
Implement coding changes based on updates and revisions to coding systems.
Conduct periodic coding audits to identify coding errors or discrepancies and recommend corrective actions.
Participate in quality assurance programs to maintain accurate and consistent coding practices.
Work closely with healthcare providers, billing specialists, and other healthcare professionals to resolve coding-related issues and discrepancies.
Communicate coding updates and changes to the healthcare team effectively.
Accurately enter coded data into electronic health records (EHR) and billing systems.
Generate coding-related reports and statistics to support decision-making and revenue cycle management.

High school diploma or equivalent; Associate's degree in Health Information Management or related field is preferred.
Certified Professional Coder (CPC) or similar coding certification is highly desirable.
Minimum of 2 years of experience in medical coding in a healthcare setting.
Strong knowledge of ICD-10-CM, CPT, HCPCS coding systems, and medical terminology.
Familiarity with coding software and electronic health records (EHR) systems.
Attention to detail and accuracy in coding assignments.
Knowledge of healthcare reimbursement and billing processes.
Excellent analytical and problem-solving skills.
Ability to work independently and efficiently in a fast-paced environment.
Commitment to confidentiality and adherence to ethical coding practices.

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