HIM Certified Coder — Inpatient & Outpatient Specialist

Carle Health; Champaign (IL); On-site; USD 32,483 - 54,249; Full time

Job summary

Carle Health seeks an HIM Certified Coder to accurately code hospital inpatient, outpatient and professional encounters using ICD-10/ICD-PCS, CPT, and HCPCS. The coder applies regulatory guidelines and modifiers to ensure compliant billing and resolves coding-related Edits in Carle systems.

Qualified candidates hold RHIT or RHIA, plus CPC/COC/CIC/CCS-P/CCS credentials, with strong knowledge of CPT/HCPCS and coding datasets. Equal opportunity employer; E-Verify participant.

Qualifications

• RHIT or RHIA certification required or eligible.
• CPC, COC, CIC, CCS-P or CCS certifications preferred.
• Proficient in ICD-10-CM/PCS, CPT and HCPCS coding and modifiers.

Responsibilities

• Code hospital inpatient, hospital outpatient and professional encounters accurately using ICD-10/ICD-PCS, CPT, HCPCS and modifiers.
• Provide interdepartmental coding assistance to ensure accurate coding assignments.
• Develop compliant coding processes using CMS publications and CPT Assistant as references.
• Assist with audits, training, charge facilitation via scrubber systems, and patient or payer inquiries.
• Serve as expert resource for CPT, HCPCS, ICD-10-CM and other coding guidelines for internal/external users.
• Act as liaison for coding and billing staff to ensure accurate charge capture.
• Report documentation and coding improvement needs from reviews.
• Maintain coding certification and knowledge to perform duties.
• Perform provider and peer coding audits as requested.
• Support internal controls and facilitate external audits.

Education

RHIT certification (AHIMA)

RHIA certification (AHIMA)

CPC (AAPC)

COC (AAPC)

CIC (AAPC)

CCS-P (AHIMA)

CCS (AHIMA)

Job description

Carle Health seeks an HIM Certified Coder to accurately code hospital inpatient, outpatient and professional encounters using ICD-10/ICD-PCS, CPT, and HCPCS. The coder applies regulatory guidelines and modifiers to ensure compliant billing and resolves coding-related Edits in Carle systems.

Qualified candidates hold RHIT or RHIA, plus CPC/COC/CIC/CCS-P/CCS credentials, with strong knowledge of CPT/HCPCS and coding datasets. Equal opportunity employer; E-Verify participant.