Medical Coder Multi-Specialty (Hospital & Clinic)
Location: Kingwood or Remote
Employment Type: Full-Time
Reports To: Revenue Cycle Manager
Position Summary
We are seeking a highly skilled, detail-driven, and high-producing certified medical coder with multi-specialty experience to join our growing healthcare organization. This role requires strong proficiency in both hospital and outpatient clinic coding, with specialty expertise in:
- Cardiology
- Urology
- Dermatology
- General Surgery
- Pulmonology
The ideal candidate has 2+ years of coding experience, maintains current certification (AAPC or equivalent), and consistently demonstrates accuracy, productivity, and strong clinical understanding across multiple service lines.
This is a high-impact role within a performance-driven, collaborative organization focused on compliance, precision, and revenue integrity.
Core Responsibilities
Coding & Documentation Review
- Accurately assign ICD-10-CM, CPT, and HCPCS Level II codes for hospital and outpatient encounters
- Review provider documentation to ensure completeness and compliance
- Apply correct modifiers and sequencing for multi-specialty procedures
- Identify documentation gaps and communicate clarification requests when necessary
- Ensure accurate E/M level selection according to current guidelines
Specialty Coding (Required Experience)
- Cardiology: Stress tests, echoes, cardiac caths, arrhythmias, CHF, CAD
- Urology: Cystoscopy, TURP, prostate procedures, kidney stones
- Dermatology: Biopsies, excisions, Mohs, lesion destruction
- General Surgery: Hernia repair, cholecystectomy, minor/major procedures
- Pulmonology: PFTs, bronchoscopy, COPD, sleep apnea
Compliance & Revenue Integrity
- Maintain adherence to CMS, NCCI edits, and payer-specific guidelines
- Ensure accurate HCC/RAF capture where applicable
- Participate in internal audits and quality assurance initiatives
- Maintain productivity benchmarks while preserving coding accuracy
Collaboration
- Work closely with providers to improve documentation quality
- Support billing and RCM teams in claim resolution
- Participate in coding education updates and regulatory changes
Required Qualifications
- Current certification through AAPC (CPC, CPC-H, or equivalent) or AHIMA (CCS, CCS-P)
- Minimum 2+ years of hands-on coding experience
- Experience coding both hospital and outpatient clinic encounters
- Multi-specialty coding experience (cardiology, urology, dermatology, general surgery, pulmonology)
- Strong knowledge of:
- ICD-10-CM
- CPT
- HCPCS
- NCCI edits
- E/M 2021+ guidelines
- HCC/RAF risk adjustment concepts
- Experience with EMR systems (eCW preferred but not required)
Preferred Qualifications
- Experience in high-volume practice settings
- Audit experience or participation in compliance reviews
- Familiarity with V28 risk adjustment updates
- Strong understanding of modifier application and surgical global periods
Performance Expectations
- Maintain ? 95% coding accuracy rate
- Meet or exceed established daily/weekly productivity standards
- Maintain timely turnaround on all assigned charts
- Demonstrate proactive communication and ownership
- Contribute to continuous improvement initiatives
What We're Looking For
We are looking for a coder who:
- Is highly organized and efficient
- Thrives in a fast-paced environment
- Has strong clinical reasoning skills
- Takes pride in precision and compliance
- Communicates professionally and clearly
- Understands the financial impact of coding accuracy
Why Join Us?
- Collaborative, supportive leadership
- Multi-specialty exposure
- Growth-focused environment
- Competitive compensation
- Performance-driven culture
- Opportunity to make measurable impact on revenue integrity and compliance
Compensation
Competitive and based on experience. Certification and specialty experience strongly influence compensation range.