Speciality Medical Coder (Remote)

**Job Title:** Specialty Medical Coder (REMOTE) **POSITION SUMMARY** The Medical Coder is responsible for accurately assigning diagnostic and procedural codes across multiple service lines of the hospital complex, including inpatient acute, emergency, ICU, surgery, outpatient, physician clinic, swing\-bed/skilled nursing, assisted living, specialty clinics, and therapy/diagnostics. This role ensures compliant, complete, and timely coding to support accurate claim submission, appropriate reimbursement, and regulatory compliance for a Critical Access Hospital. **ESSENTIAL FUNCTIONS** * Assign ICD\-10\-CM, ICD\-10\-PCS, CPT, and HCPCS codes to inpatient, outpatient, emergency, surgical, and clinic encounters based on clinical documentation. * Code across all service lines, including acute inpatient, swing bed, SNF, ER, observation, outpatient surgery, physician clinic (professional services), therapy, and diagnostics. * Apply appropriate revenue codes, modifiers, and occurrence/value/condition codes for UB\-04 and CMS\-1500 claim types. * Ensure coding accuracy and compliance with CMS guidelines, Official Coding Guidelines, LCD/NCD policies, and CAH\-specific reimbursement rules. * Abstract and enter coded data into TruBridge in a timely manner to support claim billing and productivity benchmarks. * Query providers as needed to clarify documentation for accurate and complete code assignment. * Identify and communicate clinical documentation deficiencies to clinical staff and leadership. * Stay current on annual ICD\-10, CPT, and HCPCS code updates and payer coding policy changes. * Support coding audits, compliance reviews, and CAH cost report\-related data integrity initiatives. * Collaborate with billing staff to resolve coding\-related claim edits, rejections, and denials. **NON\-ESSENTIAL FUNCTIONS** * Perform other duties as assigned by the Director, CBO or HIM Manager. * Participate in facility committees or coding/compliance workgroups as requested. **MINIMUM QUALIFICATIONS** **Education:** * High school diploma or equivalent required * Completion of an accredited medical coding program or equivalent post\-secondary coding education preferred **Experience:** * Minimum 2 years of medical coding experience * Critical Access Hospital, community hospital, or multi\-service line experience strongly preferred **Knowledge, Skills, and Abilities:** * Proficiency in ICD\-10\-CM/PCS, CPT, HCPCS, and revenue coding * Familiarity with DRG, APC, and CAH cost\-based reimbursement methodologies * Knowledge of UB\-04 and CMS\-1500 claim formats * Experience working in TruBridge or comparable community hospital EHR/PM system preferred * Strong attention to detail, analytical skills, and ability to meet productivity standards **PREFERRED QUALIFICATIONS** * Associate's degree or higher in Health Information Management or a related field * Experience with swing bed and skilled nursing facility coding **LICENSES AND CERTIFICATIONS** * Required or strongly preferred: CPC (Certified Professional Coder), CCS (Certified Coding Specialist), CIC (Certified Inpatient Coder), COC (Certified Outpatient Coder), RHIT, or CAH\-CBS (Critical Access Hospital Coding and Billing Specialist) Pay: $32\.00 \- $35\.00 per hour Education: * High school or equivalent (Required) Experience: * Physician (Profee) coding: 2 years (Preferred) * cardiology coding: 2 years (Preferred) * OB/GYN coding: 2 years (Preferred) * general surgery coding: 2 years (Preferred) * radiology coding: 2 years (Preferred) * urology/nephrology: 2 years (Preferred) * Medical coding: 5 years (Required) License/Certification: * CPC/COC/CCS/CPMA certification (Preferred) Work Location: Remote