The Senior Medical Coder is responsible for reviewing, analyzing, and accurately assigning ICD-10-CM, CPT, and HCPCS codes for inpatient, outpatient, and/or professional medical records. This role ensures coding compliance, maximizes reimbursement, and supports audit processes, while mentoring junior coders and contributing to quality improvement initiatives.
Accurately assign diagnostic and procedural codes using ICD-10-CM, CPT, and HCPCS based on provider documentation.
Review complex medical records and abstracts to ensure completeness and compliance with payer guidelines.
Serve as a resource for junior coders and assist in training or peer review activities.
Ensure documentation supports coding for medical necessity and appropriate reimbursement.
Collaborate with providers, billing, and compliance teams to resolve coding discrepancies or denials.
Stay up-to-date on industry changes, coding guidelines, and payer policies.
Participate in internal and external audits, and implement corrective actions as needed.
Maintain a high level of accuracy, meeting departmental coding productivity and quality standards.
Education: High school diploma or equivalent required; associate or bachelor's degree in Health Information Management or related field preferred
Certifications (any of the following required):
AHIMA: CCS, RHIT, or RHIA
AAPC: CPC, COC, or CIC
Experience: 5+ years of coding experience in hospital and/or physician settings, with advanced knowledge in inpatient, outpatient, or specialty coding
Deep understanding of coding guidelines, medical terminology, and anatomy/physiology
Familiarity with EMR systems and encoder software (e.g., 3M, Epic, Cerner)
Strong attention to detail, communication skills, and problem-solving ability
#SeniorMedicalCoder #MedicalCoding #ICD10 #CPTCoding #CCSCoder #RHIT #HIMJobs #RemoteCoder #HealthcareRevenueCycle #AHIMACertified #AAPCCertified #ProfessionalCoder #CodingAuditor #InpatientCoding #OutpatientCoding #SeniorCoder