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Coder Hospital Services - Health Information Management * Days - 40hrs/wk (REMOTE)

Remote, USA Full-time Posted 2025-05-22

About the position

The Coder for Hospital Services in Health Information Management is responsible for accurately coding inpatient and outpatient conditions and procedures. This role involves reviewing clinical documentation and diagnostic results to extract data for billing, reporting, research, and compliance with regulations. The position requires adherence to coding guidelines and maintaining high accuracy and productivity standards.

Responsibilities
• Code all diagnoses, treatments, and procedures by translating physician and nursing documentation according to the appropriate classification system.
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• Maintain 98% coding accuracy based on federal regulations.
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• Maintain coding productivity within standards as established by record type.
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• Initiate coding query process as appropriate.
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• Maintain continuing education credits for corporate compliance regulations and credential requirements.
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• Assist physicians and other direct patient care professionals with questions regarding diagnostic entries.
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• Foster respect for patient privacy by maintaining confidentiality in all phases of the work.
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• Participate in departmental quality standards.
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• Perform other duties as assigned, including maintaining knowledge of department processes and participating in committees.

Requirements
• Valid RHIT, RHIA, CCS, CCS-P, CPC or other professional HIM coding certificate.
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• Experience with coding software and basic computer software.
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• Effective communication and listening skills.
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• Ability to contribute to team efforts.

Nice-to-haves

Benefits

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