Job Description

Sign‐On Bonus: Up to a $5,000 sign‐on bonus is available for candidates who meet eligibility criteria. Talk with your recruiter to learn more! Job Responsibilities: Assign ICD‐10 diagnosis and procedure codes accurately to inpatient records, ensuring correct grouping into APR or MS‐DRG categories according to organizational policy and coding guidelines Complete the required number of medical records coding each day as mandated by policy to maintain workflow and productivity standards Abstract relevant clinical and demographic information from patient records, including physician notes, lab results, and discharge summaries, to support precise code assignment Utilize computer‐assisted coding (CAC) applications, encoding software, and other reference tools effectively to aid in accurate and efficient code selection Initiate queries to physicians or other healthcare providers when documentation is incomplete, unclear, or ambiguous to ensure code assignments are supported by adequate clinical information Collaborate with clinical documentation improvement (CDI) specialists to educate physicians on documentation best practices and to identify opportunities for improving coding accuracy Stay current with changes in coding guidelines, reimbursement policies, and regulatory requirements to ensure compliance and optimal revenue capture Report coding‐related concerns, discrepancies, or workflow issues to the supervisor or department manager for timely resolution and process improvement Adhere strictly to ethical standards in coding as outlined by AHIMA, maintaining confidentiality, integrity, and compliance with official coding guidelines Fulfill continuing education (CE) requirements as specified by AHIMA or relevant certification/licensing bodies to maintain professional credentials and coding proficiency Understand and comply with institutional policies regarding medico‐legal issues such as patient confidentiality, record amendments, release of information, and patient rights to ensure legal and regulatory compliance Position Qualifications: Minimum Required: RHIA certification with a Bachelor's Degree in HIM; OR RHIT certification with an Associate's Degree in HIM; OR CCS certification. RHIT credentials must be received within 6 months of start date. CCS credentials must be received within one year of start date. Six months of coding experience. Preferred: Two years' experience with inpatient coding. Experience with encoding systems. Work Environment All work is performed in an office where employees utilize their own workspace, however are in close quarters with other co‐workers. Frequent interruptions often take place in responding to customer requests. The office is air conditioned as well as heated. Age of Patients Served Not Applicable HIPAA Roles‐Based Access to Patient Information All ‐ Access to patient information, including restricted information ‐ Level 4

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