Coder Credentialed

Opelousas General Health System; Opelousas (LA); On-site; USD 65,000 - 90,000; Full time

Job summary

Opelousas General Health System in Opelousas, LA, is seeking a Credentialed Coder to review clinical documentation and accurately assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes to ensure compliance and timely reimbursement.

Preferred qualifications include AHIMA or AAPC certification (CCS, CPC, or COC) and a minimum of 2 years hospital coding experience. Proficiency with EHRs, encoder software, and coding tools, plus strong analytical and organizational skills, are essential.

Qualifications

• AHIMA or AAPC certification (CCS/CPC/COC) required.
• Minimum of 2 years hospital coding experience.
• Proficiency with ICD-10-CM, CPT, HCPCS and CMS guidelines.
• Experience with EHRs and coding software tools.
• Strong 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/payer coding guidelines and regulations.
• Validate medical necessity and documentation completeness for accurate reimbursement.
• Stay current with coding updates, payer requirements, and reimbursement methodologies.
• Maintain productivity and quality, meet turnaround times.
• Participate in audits and quality assurance activities.

Skills

Attention to detail

Analytical thinking

Problem solving

Collaborating with providers

Regulatory compliance awareness

Education

AHIMA or AAPC certification (CCS/CPC/COC)

Tools

EHR systems

Encoder software

Job description

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Coder Credentialed

Health Information Management Regular Full-Time Technical Opelousas, LA, US

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.