HIM Coder Analyst

CornerStone Professional Placement; Fort Worth (TX); On-site; USD 100,289,000 - 114,616,000; Full time

Job summary

CornerStone Professional Placement is seeking a skilled medical coder to review outpatient records and assign ICD-10-CM and CPT-4 codes for ambulatory surgery, observation, ED, and clinic encounters. The role emphasizes coding accuracy, productivity, and adherence to guidelines.

Candidates should hold RHIA, RHIT, CCS, or CPC credentials, with at least two years of full-time hospital outpatient coding experience and AHIMA CE records if applicable. Proficiency in EHR systems and Excel is helpful.

Qualifications

• Current RHIA, RHIT, CCS, or CPC certification required.
• Minimum of 2 years of current full-time hospital outpatient coding experience involving ICD-10-CM, CPT-4, ambulatory surgery, observation cases, and medical record abstracting.
• Current AHIMA continuing education certification records required, when applicable.
• Review and interpret outpatient medical records to assign codes with high specificity for ambulatory settings.

Responsibilities

• Review and interpret outpatient medical records to assign ICD-10-CM and CPT-4 codes with the highest level of specificity for ambulatory surgery, observation, special procedures, emergency department, ancillary, and clinic encounters.
• Code primarily complex ambulatory surgery and observation cases while maintaining a minimum coding accuracy rate of 95%.
• Abstract required clinical and demographic information into the EHR to support billing and reporting.
• Submit physician queries to clarify documentation and collaborate with clinical documentation specialists to ensure accurate coding.
• Identify documentation concerns, report risk management issues, and stay current on coding regulations and payer guidelines.

Skills

ICD-10-CM coding

CPT-4 coding

Ambulatory surgery coding

Observation coding

EHR systems

Physician documentation queries

Medicare and Medicaid guidelines

Coding accuracy

Communication

Education

RHIA/RHIT/CCS/CPC certification

Tools

Microsoft Excel

Microsoft Word

Job description

COMPENSATION & SCHEDULE

• Pay: $35.00-$40.00/hour


• Schedule: Full-time


• Employment Type: W2

ROLE IMPACT

Support accurate reimbursement, regulatory compliance, and quality reporting by reviewing outpatient medical records and assigning accurate ICD-10-CM and CPT-4 codes. Success in this role is measured by coding accuracy, productivity, effective provider communication, and adherence to coding guidelines and documentation standards.

KEY RESPONSIBILITIES

• Review and interpret outpatient medical records to assign ICD-10-CM and CPT-4 codes with the highest level of specificity for ambulatory surgery, observation, special procedures, emergency department, ancillary, and clinic encounters.


• Code primarily complex ambulatory surgery and observation cases while maintaining a minimum coding accuracy rate of 95%.


• Abstract required clinical and demographic information into the electronic health record to support billing and reporting.


• Submit physician queries to clarify documentation and collaborate with clinical documentation specialists to ensure accurate coding.


• Identify documentation concerns, report risk management issues, and remain current on coding regulations, payer guidelines, and industry updates.

LICENSES & CERTIFICATIONS

• Current RHIA, RHIT, CCS, or CPC certification required.


• Minimum of 2 years of current full-time hospital outpatient coding experience involving ICD-10-CM, CPT-4, ambulatory surgery, observation cases, and medical record abstracting.


• Current AHIMA continuing education certification records required, when applicable.

CLINICAL SKILL SET

• ICD-10-CM and CPT-4 coding


• Hospital outpatient coding


• Ambulatory surgery coding


• Observation encounter coding


• Emergency department coding support


• Medical record abstracting


• Electronic Health Record (EHR) systems


• Automated coding encoders


• Physician documentation queries


• Medicare and Medicaid coding guidelines

PREFERRED SKILLS

• Pediatric coding experience.


• Proficiency with Microsoft Excel and Microsoft Word.


• Strong critical thinking, organization, communication, and independent problem-solving skills with the ability to work with minimal supervision.