Coder, Certified Professional - FT DaysThe Certified Coder is responsible for the timely and accurate coding of administrative and clinical data through the assignment of ICD-10-CM, ICD-10-PCS, and/or CPT codes. This position ensures compliance with all federal regulations, state licensing requirements, and the policies and procedures of Three Crosses Regional Hospital. The incumbent will carry-out duties by adhering to the highest standards of ethical and moral conduct, acts in the best interest of Three Crosses Regional Hospital, and fully supports the mission, vision, and values of Three Crosses Regional Hospital.Primary ResponsibilitiesIndependently perform analysis of claims on a pre- and post-payment basis utilizing clinical, coding and claims processing knowledge to ensure accuracy in accordance with CPT, ICD-10, and risk adjustment guidelinesReview medical records to validate or invalidate potential coding and billing issues identified on claimsDevelop and maintain an individual audit schedule in coordination with leadership and providersThoroughly document findings to support claim adjustments, including supporting medical records and coding rationaleIdentify and document process gaps contributing to incorrect paymentsEnsure the security and confidentiality of all protected health information (PHI) accessed during work activitiesApply clinical and coding expertise to ensure accurate and complete documentation for coding and claim submissionReport missing charges and reconciling discrepancies prior to claim submissionIdentify opportunities to educate providers, staff, and colleagues on documentation and coding best practicesMeet established productivity, accuracy, timeliness, and documentation standardsCollaborate with clinical staff and the Director of Revenue Cycle to resolve coding queries and support claim progression through the revenue cycleAdapt to new systems, technologies, and coding updates with flexibility and efficiencyAttend staff meetings as requiredOther duties as assigned.Knowledge, Skills and AbilitiesDemonstrate critical thinking, time management and problem-solving skillsExcellent verbal and written communication (including documentation) skillsAbility to organize and prioritize tasksExperience with electronic medical records systemExperience with medical record documentation, medical chart auditing/quality experienceAdvanced knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacologyEducation and Experience:Required: High School Diploma or equivalentPreferred: 3+ years medical coding experienceRequired: Meet all Employee Health RequirementLicense/Certification(s) Required: One certification from CCA, CPC, CPB, CCS, CIC, COC, CCS-P accredited from AAPC or AHIMA