Coder Credentialed

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

Job summary

Opelousas General Hospital is seeking a Credentialed Coder to review clinical documentation and assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes, ensuring accuracy and compliance.

The role requires current AHIMA or AAPC certification and hospital coding experience; you will stay abreast of updates, support revenue integrity, and collaborate with providers to resolve documentation gaps.

Qualifications

• Current certification from AHIMA or AAPC, including CCS, CPC, or COC.
• Minimum of 2 years hospital coding experience.
• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems.
• Familiarity with CMS regulations, Official Coding Guidelines, and payer policies.
• Proficiency with EHRs and coding software tools.

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 and regulations.
• Validate medical necessity and documentation completeness to support accurate reimbursement.
• Stay current with coding updates, regulatory changes, payer requirements, and reimbursement methodologies.
• Maintain coding productivity and quality standards while meeting 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.
• Collaborate with providers and interdisciplinary teams to resolve documentation inconsistencies.

Skills

Attention to detail

Analytical skills

Problem-solving

Organizational skills

Education

AHIMA/AAPC Certification (CCS/CPC/COC)

Tools

EHR systems

Encoder software

Coding applications

Job description

Credentialed CoderAs 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.
• 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.