Med-Medical Coding

Job Title: Coder 2 - Health Information Management (HIM)

Location: San Bernardino, CA

Job Type: Full-Time

Pay: $30.00 - $35.00 per hour

Job Summary:

We are seeking a detail-oriented Coder 2 - HIM to join our team in a remote, full-time role. The Coder 2 is responsible for performing ICD and CPT coding and abstracting data from the legal medical record for healthcare facilities. This position assigns diagnosis and procedure codes in compliance with the American Hospital Association Official Coding Guidelines and ensures the accuracy and quality of coded and abstracted information in accordance with federal and state regulations, as well as government and contract payer requirements.

The quality and accuracy of the data collected impacts multiple areas including finance, legal compliance, research, teaching, and quality assurance. The ideal candidate will have experience performing inpatient and/or outpatient surgery coding and will work collaboratively with team members while also assisting with students or coding interns when requested.

Key Responsibilities:

Perform accurate ICD and CPT coding from medical records.

Abstract and review clinical data from legal medical records.

Ensure compliance with AHA Official Coding Guidelines, federal and state regulations, and payer requirements.

Maintain high standards for data quality and accuracy.

Manage workload effectively while meeting productivity and quality expectations.

Collaborate with team members and assist with coding students or interns as needed.

Perform other duties as assigned.

Education and Experience:

Completion of a Coding Certificate Program or Associate's Degree in Health Information Management required.

Minimum of 3 years of coding experience required.

Experience with inpatient coding

Knowledge and Skills:

Knowledge of medical terminology preferred.

Understanding of coding standards established by the American Health Information Management Association (AHIMA).

Proficiency with computer systems and programs such as Word, Excel, Outlook, and PowerPoint.

Strong attention to detail and ability to maintain coding accuracy.

Ability to prioritize tasks, manage multiple assignments, and work independently with minimal supervision.

Excellent communication and interpersonal skills.

Ability to work effectively in a fast-paced environment and respond professionally under pressure.

Licensure/Certification Required:

One of the following credentials through AHIMA:

Certified Coding Specialist (CCS)

Registered Health Information Administrator (RHIA)

Registered Health Information Technician (RHIT)

Pre-Screening Questions (AI Should Ask These):

Certifications:

Do you have a valid RHIT (Registered Health Information Technician) certification?

Skills:

Do you have experience with task prioritization and managing multiple assignments?

Do you have at least 3 years of inpatient coding experience?

Education:

Do you have an Associate's Degree (preferably in Health Information Management or a related field)?

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