Certified Medical Coder: Reimbursement & Compliance Specialist

Shenandoah Medical Center; Shenandoah (IA); On-site; USD 60,000 - 75,000; Full time

Job summary

Shenandoah Medical Center seeks a skilled medical coder and internal auditor to ensure accurate coding and sequencing of diagnoses and procedures for maximum reimbursement. You will review documentation, assign charge master codes and modifiers, and work across systems to match patient accounts with billable charges.

The role emphasizes audits, education, and ongoing compliance with coding standards, while collaborating with staff to resolve documentation gaps and optimize revenue integrity.

Qualifications

• ICD-10 CM/PCS, CPT-4, and HCPCS coding knowledge required or preferred.
• 3–5 years of internal auditing experience preferred.
• 1–3 years of medical coding experience preferred.

Responsibilities

• Accurately codes and sequences diagnoses and procedures for optimal reimbursement.
• Reviews documentation to determine diagnoses and procedures performed.
• Uses systems to assign charge master codes and modifiers.
• Participates in audits to capture lost charges and ensure accuracy.
• Maintains communication with staff and providers on documentation gaps.

Skills

Medical coding

Auditing

ICD-10 CM/PCS

CPT-4

HCPCS

Education

High School or better

Job description

Shenandoah Medical Center seeks a skilled medical coder and internal auditor to ensure accurate coding and sequencing of diagnoses and procedures for maximum reimbursement. You will review documentation, assign charge master codes and modifiers, and work across systems to match patient accounts with billable charges.

The role emphasizes audits, education, and ongoing compliance with coding standards, while collaborating with staff to resolve documentation gaps and optimize revenue integrity.