HOSPITAL CODER

Job Description

Job Description

Position : Hospital Coder

Department : Clinic Management

Reports to : Department Supervisor

Created : 4 / 16 / 2025

Job Summary

We are seeking a skilled and detail-oriented Certified Medical Coder specializing in clinic or professional coding to join our healthcare team. The ideal candidate will be responsible for accurately assigning appropriate medical codes to diagnoses, procedures, and services provided in a clinic or professional setting. The Certified Medical Coder plays a vital role in ensuring compliance with coding guidelines, maximizing revenue capture, and supporting efficient healthcare operations.

Essential Duties and Responsibilities

• Review and analyze medical records, encounter forms, and documentation to accurately assign ICD-10-CM, CPT, and HCPCS codes.
• Ensure coding accuracy and compliance with regulatory requirements and organizational policies.
• Collaborate with healthcare providers and clinical staff to clarify diagnoses or procedures for accurate code assignment.
• Conduct coding audits to identify coding discrepancies, documentation issues, and areas for improvement.
• Provide coding expertise and guidance to healthcare providers and staff to optimize reimbursement and compliance.
• Stay updated with changes in coding guidelines, reimbursement methodologies, and healthcare regulations.
• Assist in resolving coding-related denials and appeals by providing additional documentation or clarification as needed.
• Maintain confidentiality of patient information and adhere to ethical standards of the healthcare profession.

Requirements

Preferred Qualifications

Working Conditions