Dec 16, 2025

Coder - Hospital

Job Description

Coder - Hospital

Coders - Hospital are responsible for technical coding includes the assignment of ICD-CM/PCS, CPT, and HCPCS codes, modifiers, selection of MD Diagnosis Related Groupings (MS-DRG), Ambulatory Payment Classification (APC), and coding for severity of illness. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations.

Department: Medical Record Management

Hours: Full-time

Required: High School Diploma, CCA coding certification is preferred

Pay: Based on experience, starting at $22.72

Responsibilities

  • Assists physicians with record documentation needs by requesting clarification for additional information.
  • Assists in educating physicians and ancillary staff members about documentation needed for coding process.
  • Contacts physician offices and/or SBL departments as needed for diagnostic information to code the encounter.
  • Assists with training new coding staff as requested.
  • Codes all types of encounters as assigned and assists coworkers as needed.
  • Codes and finals inpatient and outpatient services technical encounters based on established production standards.
  • Meets quality standards of having 95% of diagnoses and procedures appropriately and/or correctly coded.
  • Ensures data quality and optimum reimbursement allowable under the federal and state payment systems.
  • Performs follow-up on encounters that need to be coded and finaled.
  • Reviews and corrects all encounters that are rejected or denied.
  • Reviews record thoroughly to ascertain all diagnoses/procedures. Codes all diagnoses/procedures in accordance to ICD-CM and CPT coding principles, official guidelines and regulations.

Requirements

  • AS, High School (Required)
  • CCA - Certified Coding Associate - American Health Information Management Association
  • Certified Coding Specialist- Hospital - Sarah Bush Lincoln
  • Certified Professional Coder-A - Sarah Bush Lincoln
  • Registered Health Information Administrator - American Health Information Management Association
  • Registered Health Information Technician - American Health Information Management Association

Compensation

Estimated Compensation Range $22.72 - $35.22

Pay based on experience