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
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.
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