Job Description

HIM (Health Information Management) Coder - Fully Remote! at The Staff Pad summary:

The Health Information Management (HIM) Coder reviews and analyzes clinical documentation to assign accurate diagnostic and procedural codes using ICD-10-CM, CPT, and HCPCS systems. This fully remote role requires ensuring compliance with federal regulations, resolving coding-related discrepancies, and maintaining quality and productivity standards. The position involves effective communication with clinical staff and ongoing education to uphold coding accuracy and compliance.

The Staff Pad has partnered with Blue Ridge Medical Center in Blue Ridge, Georgia. Blue Ridge Medical Center is seeking an experienced   Health Information Management (HIM) Coder   to join our team in a fully remote capacity. This individual will be responsible for reviewing, analyzing, and assigning diagnostic and procedural codes for inpatient, outpatient, and/or emergency department medical records using ICD-10-CM, CPT, and HCPCS coding systems in accordance with official coding guidelines and facility standards.

Key Responsibilities:

• Review and abstract clinical documentation from patient records to assign accurate codes for diagnoses and procedures

• Ensure compliance with federal regulations and hospital policies related to coding and billing

• Maintain productivity and quality standards established by the HIM department

• Query physicians when appropriate to ensure accurate and complete documentation

• Assist in resolving coding-related billing issues or discrepancies

• Maintain up-to-date knowledge of current coding guidelines, payer regulations, and industry best practices

• Participate in internal audits and ongoing education for coding accuracy and compliance

• Communicate effectively with physicians, clinical staff, and HIM leadership

Qualifications:

• High school diploma or equivalent required

• Associate degree in Health Information Technology or related field preferred

• AHIMA or AAPC certification required (RHIA, RHIT, CCS, CPC, or equivalent)

• Minimum of 2 years of experience in a healthcare coding role

• Strong understanding of ICD-10-CM, CPT, and HCPCS coding systems

• Knowledge of CMS guidelines and medical terminology

• Familiarity with electronic health record (EHR) systems

• Strong attention to detail, organizational skills, and ability to work independently in a remote environment

Work Environment:

This is a   fully remote position   with flexible scheduling within core business hours. Candidates must have access to a secure, high-speed internet connection and a quiet workspace to maintain HIPAA compliance.

Why Join Blue Ridge Medical Center?

At Blue Ridge Medical Center, we are committed to providing high-quality, compassionate care to our community. Join a team that values integrity, excellence, and collaboration—all while enjoying the flexibility of remote work.

Keywords:

Health Information Management, Medical Coding, ICD-10-CM, CPT Coding, HCPCS, Remote Medical Coder, Healthcare Compliance, Medical Billing, Clinical Documentation, Electronic Health Records

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