Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding
Resolve medical record documentation deficiencies through healthcare provider query, and provide routine feedback to healthcare providers to correct deficiencies
Perform quality assessment of records, including verification of medical record documentation (both electronic and handwritten)
Responsible for researching errors or missing documentation from medical record, in order to provide accurate coding processes
Abstract and assign the appropriate ICD-10, HCPCS/CPT codes; including Level I & Level II modifiers as appropriate for all diagnosis and procedures performed in an outpatient and inpatient setting.

Certified Profee and/or Facility Coders with a minimum of three years' experience in a hospital and/or clinic setting coding
Prefer Critical Access Hospital and Rural Health but not necessary
Seeking knowledge in the following areas: Inpatient, Observations, Emergency, Same Day Surgery, Ancillary, Recurring therapies, Provider-based and Free standing clinics/offices
Must be able to pass testing on proficiency and knowledge
Must be proficient in excel and can multitask
Excellent communication skills both verbally and in writing
Must be able to maintain a 95% QA accuracy rate as well as productivity standards
Must be able to follow official coding guidelines.

Reliable high-speed internet connection is required for all remote/hybrid positions
Must have access to stable Wi-Fi with sufficient bandwidth to support video conferencing, cloud-based tools, and other online work-related activities
A HIPAA-compliant work environment is required, including a secure workspace free from unauthorized access or interruptions, no use of public Wi-Fi unless connected through a secure company-provided VPN, and compliance with all applicable HIPAA privacy and security regulations.

Coder, Pro

Key skills