2 him certified coder jobs found in Chester, IL

Job Summary: The Medical Coder is responsible for accurate coding, abstraction, and auditing of patient encounters to support compliant reimbursement, reporting, and regulatory requirements. This role reviews medical records to ensure documentation integrity, identifies diagnostic and procedural information, and validates that services rendered are fully supported by clinical documentation. The Medical Coder serves as a subject matter expert and consultant to providers and coding staff, identifies discrepancies and opportunities for improvement, and supports ongoing education, quality initiatives, and special projects. Essential Duties/Responsibilites include but are not limited to: • Diagnosis coding for all services, inpatient and outpatient • Procedural coding for outpatient and inpatient services • Auditing of charges for outpatient services • Assists in documentation audits as needed • Abstracting • Maintains current coding competence regarding ICD-10-CM,...

Coder Reimbursement Specialist - Hospital Full‑time position. The Coding and Reimbursement Specialist (CCS) is responsible for coding and abstracting clinical data from the medical record, including inpatient, outpatient, commercial, Medicare, Medicaid, Illinois Public Aid, and all other payor types. Accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis and DRG in accordance with rules and regulations and coding methodologies, resulting in reimbursement and billing compliances as set forth by the Office of Inspector General. The CCS manages workload, assigns work to three inpatient and two outpatient coders, and oversees day‑to‑day operations of the coding/reimbursement area. The CCS monitors regulatory sources to keep HIM coding and other staff informed and trained on coding rules, regulations and related issues, works closely with patient financial services to resolve claim denials, assists in...