Coder Credentialed

Opelousas General; Opelousas (LA); On-site; USD 55,000 - 75,000; Full time

Job summary

Opelousas General in Opelousas, LA, seeks a Credentialed Coder to review clinical documentation and assign accurate ICD-10-CM/ICD-10-PCS, CPT, and HCPCS codes. This regular full-time position requires rigorous attention to detail and knowledge of coding guidelines.

You will ensure compliance with federal and payer policies, verify medical necessity, and support timely reimbursement while staying current with coding updates.

Qualifications

• Active AHIMA/AAPC certification is preferred.
• Minimum 2 years hospital coding experience.
• Strong knowledge of ICD-10-CM, CPT, and HCPCS.
• Familiarity with CMS regulations and payer policies.
• Proficient with EHRs and coding software tools.
• Excellent analytical, organizational, and problem-solving skills.

Responsibilities

• Review clinical documentation to assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Level II codes.
• Ensure compliance with federal, state, and payer guidelines.
• Validate medical necessity and documentation for reimbursement.
• Stay current with coding updates and payer requirements.
• Maintain productivity and quality within turnaround times.
• Participate in audits and quality assurance activities.
• Experience using EHRs, encoder software, and coding applications.

Skills

AHIMA/AAPC cert

ICD-10-CM

ICD-10-PCS

CPT

HCPCS

EHR proficiency

Regulatory compliance

Tools

EHR software

Encoder software

Coding applications

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Coder Credentialed

Regular Full-Time Technical Opelousas, LA, US

6 days ago Requisition ID: 2712

About the Role:

As a Credentialed Coder, you will review clinical documentation and accurately assign diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS classification systems. Your expertise will ensure coding accuracy, compliance with federal and payer regulations, and timely reimbursement for healthcare services.

Preferred Qualifications:

• Current certification from AHIMA or AAPC, including one or more of the following:
  • Certified Coding Specialist (CCS)
  • Certified Professional Coder (CPC)
  • Certified Outpatient Coder (COC)
• Minimum of 2 years of recent hospital coding experience.
• Demonstrated knowledge of ICD-10-CM, CPT, and HCPCS coding systems.
• Knowledge of CMS regulations, Official Coding Guidelines, and payer policies.
• Proficiency with electronic health records (EHR) and coding software tools.
• Excellent analytical, organizational, and problem-solving skills.

Responsibilities:

• Review clinical documentation to accurately assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Level II codes.
• Ensure compliance with federal, state, and payer-specific coding guidelines and regulations.
• Validate medical necessity and documentation completeness to support accurate reimbursement.
• Stay current with annual coding updates, regulatory changes, payer requirements, and reimbursement methodologies.
• Maintain coding productivity and quality standards while meeting established turnaround times.
• Participate in audits and quality assurance activities to monitor coding accuracy and compliance.
• Experience using electronic health records, encoder software, and coding applications.

Knowledge, Skills & Abilities:

Successful candidates demonstrate exceptional attention to detail and the ability to interpret complex clinical documentation while applying official coding guidelines accurately. They possess strong critical thinking skills to identify documentation inconsistencies and collaborate effectively with providers and interdisciplinary teams. Experience with hospital reimbursement methodologies, coding technology, and regulatory compliance enables them to contribute to accurate billing, revenue integrity, and organizational success.