Credentialed Coder: Precise Hospital Coding & Compliance

Opelousas General Health System; Opelousas (LA); On-site; USD 52,000 - 78,000; Full time

Job summary

Opelousas General Health System is seeking a Credentialed Coder to review clinical documentation and assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes. You will ensure coding accuracy and compliance with federal and payer regulations to support timely reimbursement.

The role requires current AHIMA or AAPC certification (CCS/CPC/COC) and a minimum of two years of hospital coding experience, with strong knowledge of ICD-10-CM, CPT, HCPCS, CMS policies, and EHR tools.

Qualifications

• Certification from AHIMA or AAPC (CCS, CPC, or COC) is preferred.
• Minimum of 2 years of hospital coding experience.
• Proficiency with ICD-10-CM, CPT, and HCPCS.
• Knowledge of CMS regulations and payer policies.
• Experience with EHR and coding applications.

Responsibilities

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

Skills

ICD-10-CM

CPT

HCPCS

CMS regulations

EHR

encoder software

coding applications

analytical thinking

organizational skills

problem-solving

Education

AHIMA/AAPC credential (CCS/CPC/COC)

Tools

coding software tools

Job description

Opelousas General Health System is seeking a Credentialed Coder to review clinical documentation and assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes. You will ensure coding accuracy and compliance with federal and payer regulations to support timely reimbursement.

The role requires current AHIMA or AAPC certification (CCS/CPC/COC) and a minimum of two years of hospital coding experience, with strong knowledge of ICD-10-CM, CPT, HCPCS, CMS policies, and EHR tools.