Coder I
The Coder I is responsible for performing International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding for primary care billing, case mix, and data collection purposes. The Coder I performs reviews of patient charts and validates coding for accuracy and capture of all billable charges. The Coder I maintains data integrity within the hospital information systems.
Responsibilities
- Assigns ICD and CPT codes to patient diagnoses and procedures for primary care services
- Assess the accuracy and completeness of all information provided in documentation
- Assign codes for procedures, services, and diagnosis by following set classification systems
- Identify chargeable services/items for emergency and ancillary visits and ensure that all charges are accurately billed into the system
- Code and post procedures and accurately assign CPT and ICD codes to them
- Prioritizes assignments according to established criteria and decrease pending accounts
- Contacts or queries physician when additional information or clarification is needed to code
- Reviews documentation and coding for accuracy and practices compliance with coding guidelines and protocols
- Validates documentation and ICD/CPT codes and modifiers
- Performs compliance edits on outpatient records, and ensures discrepancies are resolved
- Reviews abstracted and statistical data for corrections and submits findings to leader
- Maintains current information/knowledge regarding coding principles and guidelines
- Utilizes the Electronic Health Record system and other related computer systems and software
- Selects appropriate assignments for coding/abstracting from work queues
- Enters coded and abstracted data appropriately for use within the hospital information system
- Maintains data integrity through review of the overall completeness, accuracy, and consistency of data within relevant systems
Qualifications
Education:
Experience:
- One (1) year of previous experience performing clerical work or data entry
Skills:
- Organizing and interpreting technical data
- Multitasking, time-management, and organization
- Verbal and written communication
Job Identification: 27704
Job Category: Clerical & Admin Support
Posting Date: 03/09/2026, 04:15 PM
Job Schedule: Full time
Job Shift: Day
Locations: Bay Internal Medicine Multispecialty 952 Green Meadow Road