Facility Rehab Coder, HIM Coder

Jobtailor; Plano (TX); On-site; USD 55,000 - 75,000; Full time

Job summary

Jobtailor is seeking a skilled coding professional to perform accurate inpatient and outpatient medical record coding. You will apply ICD-10-CM and CPT guidelines, reflecting admission reasons, care extent, and illness severity, while ensuring HIPAA compliance.

Strong data entry, attention to detail, and communication skills are essential for success. Two years of coding experience is preferred; professional credentials such as CCS/CPC and related certifications are highly valued in this role.

Qualifications

• High school diploma required; coding experience preferred.
• Knowledge of ICD-10-CM and CPT; familiarity with medical terminology.
• HIPAA compliance and accurate data entry are essential.
• Experience with inpatient/outpatient coding and IRF-PAI is a plus.

Responsibilities

• Perform coding and abstracting of inpatient and outpatient records per ICD-10-CM and CPT rules.
• Reflect reason for admission, extent of care, and severity of illness accurately.

Skills

Medical coding

ICD-10-CM

CPT coding

HIPAA compliance

Data entry

Communication skills

Attention to detail

Anatomy & Physiology

3M coding application

Education

High school diploma

CCS

CCS-P

CPC

CPC-A

CBCS

CCA

RHIT

RHIA

RN with ICD-9-CM

LPN with ICD-9-CM

Tools

3M coding application

Job description

Responsibilities

• Performing coding and abstracting of both inpatient and outpatient medical records in accordance with ICD-10-CM and CPT coding rules, guidelines, and conventions following hospital and PAM Health system procedures.
• Accurately reflect the reason for admission, extent of care received, and level of severity of illness.

Requirements

• High school diploma or its equivalent is required.
• Coding, medical terminology, Anatomy/Physiology courses preferred.
• Certification as one of the following is preferred; a. Certified Coding Specialist (CCS) b. Certified Coding Specialist-Physician based (CCS-P) c. Certified Professional Coder (CPC) d. Certified Professional Coder Apprentice (CPC-A) e. Certified Billing and Coding Specialist (CBCS) f. Certified Coding Associate required (CCA) g. Registered Health Information Technician (RHIT) h. Registered Health Information Administrator (RHIA) i. Registered Nurse (RN) with ICD-9-CM coding background j. Licensed Practical Nurse (LPN) with ICD-9-CM coding background
• Experience as a Coder and currently pursuing any of the above listed credentials will be considered.
• Minimum of two (2) years experience as a coder is preferred.
• Knowledge of ICD-10-CM / CPT coding skill, disease processes, medical terminology, anatomy and physiology, pharmacology and laboratory terminology in order to code accurately.
• Ability to stay abreast of coding changes/ICD-10-CM Official Conventions along with Official ICD-9-CM / CPT Guidelines for Coding and Reporting.
• Ability to assign ICD-10-CM diagnosis/procedure codes according to the International Classification of Diseases utilizing the 3M coding application.
• Familiarity with the Inpatient Rehabilitation Facility-Patient Assessment Instrument (IRF-PAI) preferred.
• Must possess accurate data entry skills and computer skills.
• Ability to enter data into the computer for billing and statistical purposes required.
• Must possess ability to communicate with customers, families, staff, management, physicians and general public.
• Must be able to follow directions accurately and timely, produce quality and quantity work of repetitive tasks and have preference for orderly, detail-oriented duties.
• Must have understanding of HIPAA regulations.
• Must exercise initiative and concise decision-making, organize work independently, and be willing to work with physicians and other hospital staff, and promote a positive attitude.
• Familiarity with TJC and State regulations along with legal aspects of the medical record.