Jul 07, 2026

Specialty Coder - Medical Records

Job Description

Job Title

Specialty Coder

Job Description

The Specialty Coder reviews and analyzes documentation present in the medical record for both inpatient and outpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. Coder Auditor finalizes the coding and abstracting of the medical record upon ensuring the assignment of International Classifications of Diseases, Ninth Revision (ICD-9-CM) or Tenth revision (ICD-10/PCS), Current Procedural Terminology (CPT), and Health Care Procedure Coding System (HCPCS), are accurate and supported by the clinical documentation of the respective medial record. Holding a senior coding position, assumes primary responsibility for DRG validation/accuracy, primary role in assisting CDS and medical staff members with improving quality of clinical documentation. Participates in chart review projects as assigned and other duties as needed.

Qualifications

High school graduate or equivalent.

CCS required.

1+ year of clinical experience in acute care setting preferred.

Must meet the performance standards set forth by the Hospital/Department at Coder Auditor position for at least 6 months.

Minimum of two years' experience with ICD-9 and CPT coding in an acute care setting preferred.

Basic computer experience required.

Use of an encoder software product for code assignment in an acute care setting required

Computer data entry with 10-key preferred, with accurate typing speed of 35 wpm preferred

Excellent written and verbal communication skills. Excellent critical thinking skills.

Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff, coding staff and hospital management staff.

Ability to work independently in a time-oriented environment.

Computer literacy and familiarity with the operation of basic office equipment.

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf