Coder-Health Information-8125

Kingman Regional Medical Center; Kingman (AZ); On-site; USD 55,000 - 75,000; Full time

Job summary

Kingman Regional Medical Center is seeking a Professional Services Coder and Coding Reviewer to evaluate and code professional charges, ensure compliance, and support the revenue cycle within Health Information Management. The role requires advanced coding knowledge, attention to CMS guidelines, and the ability to train physicians and staff.

Responsibilities include managing coding reviews, maintaining data quality, and staying current with industry changes.

Qualifications

• Advanced knowledge of ICD-10-CM, CPT, HCPCS and medical terminology.
• Thorough understanding of CMS coding and billing guidelines.

Responsibilities

• Evaluates medical record documentation and charge reports for completeness, accuracy and compliance.
• Codes professional charges and performs coding reviews for practices and providers.
• Provides training and ongoing coding education to physicians and staff on coding issues.
• Manages work activities, assignments and schedules for timely information submission; provides data reports.
• Keeps up to date with coding changes via bulletins, newsletters and workshops.
• Demonstrates dependability, teamwork and patient confidentiality; builds relationships with providers and staff.
• Attends departmental meetings and pursues CEUs; completes other duties as requested.

Skills

ICD-10-CM

CPT/HCPCS

Medical Terminology

CMS Guidelines

Communication Skills

Independent Work

Computer Literacy

Education

High School Diploma

CCS Certification (AHIMA)

CPC Certification (AAPC)

Job description

Staff Position Description

Position Title:Professional Services Coder and Coding ReviewerPosition Code: Coder-8125Oracle code: Coder-8215Department: Health Information ManagementSafety Sensitive: YesReports to: HIM Director/ManagerExempt Status: No

Position Purpose

All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI's vision to be among the kindest, highest quality health systems in the country.

Key Responsibilities

• Evaluates medical record documentation and charge reports to ensure completeness, accuracy and compliance with the Correct Coding Initiative Edits; evaluates and report audit findings or reviews and reports on results to physicians and/or operations directors; evaluate insurance requests and claim denials to assist the Business Office with the revenue cycle.
• Ensures data quality in compliance with State, Federal and regulatory requirements; codes all professional charges to ensure accurate and timely billing; perform coding reviews and/or surgical coding for practices and providers.
• Provides technical guidance, training, and on-going coding education when instructed, to physicians and their office staff and other ancillary departments on both general and specific coding issues to include documentation and guidance in quality coding for proper collection of health data.
• Manage work activities, work assignments and schedules to ensure accurate and timely submission of information; provides reports as requested on data collected, abstracted and coded.
• Review bulletins, newsletters and periodicals and attends workshops to stay abreast of current issues, trends and changes in the laws and regulations governing medical record coding and documentation.
• Demonstrates dependability, teamwork, and maintains patient confidentiality; develops and maintains excellent relationships with providers, provider’s staff, operational directors, and business office staff.
• Strives to be a productive member of this institution, attends departmental meetings as required, maintains certification, and obtains continued education units (CEU).
• Completes all other duties, projects and assignments as directed/requested.

Qualifications

• Advanced knowledge of ICD-10-CM, CPT, HCPCS, Medical Terminology and medically approved abbreviations required.
• Thorough understanding of CMS coding and billing guidelines required.
• Excellent written and verbal communication skills and critical thinking skills.
• Ability to work independently and make independent decisions based on specialized knowledge.
• Computer literacy and familiarity with the operation of basic office equipment, required.

Education: High school diploma or equivalent

Certification/Licensure: Maintains current Certified Coding Specialist (CCS) issued by the American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) issued by the American Academy of Professional Coders (AAPC)

Certification/Licensure: Certified Professional Coder (CPC) issued by the American Academy of Professional Coders (AAPC) or currently enrolled in AHIMA or AAPC and actively working towards obtaining Coding Specialist (CCS) issued by the American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) issued by the American Academy of Professional Coders (AAPC).

Certification required within 12 months of hire or placement in this position.

Preferences

Experience: Experience in a medical billing/coding office.

Special Position Requirements

[Optional section: any travel, security, risk, hazard or related special conditions which apply to the position]

Travel to off-site locations as required.

Exposure Categories: Category II: Expected duties have possible, but not routine, potential for exposure to blood, body fluids or tissues

Work Requirements

• Able to collaborate with individual practices, the Business Office, and Operation Directors.
• Requires ability to stand and walk in the performance of job responsibilities.
• Ability to work at a computer for extended periods.
• Some bending and lifting may be required.

Date Staff Position Description Created / Revised: 03/21/2019; 8/12/2026