Hybrid Medical Coding Specialist (CCS/CPC)

Mountains-Community-Hospital; Lake Arrowhead (CA); Hybrid; USD 90,000 - 130,000; Full time

Benefits offered by this job

Hybrid work option

Job summary

Mountains Community Hospital seeks a detail-oriented Certified Coding Specialist to ensure accurate medical coding, charge capture, and regulatory compliance across hospital and outpatient services.

The role involves reviewing records, assigning ICD-10-CM/PCS, CPT, and HCPCS codes, reconciling charges, and supporting coding audits. Collaboration with HIM, clinical staff, and billing is essential to maintain data integrity and compliant reimbursement.

Qualifications

• Active coding credential from AHIMA or AAPC.
• Ability to interpret medical documentation and apply coding guidelines across settings.
• 3+ years of medical coding experience.
• Experience in Rural Health/Critical Access Hospital preferred.
• Experience with inpatient and various outpatient coding scenarios.

Responsibilities

• Review medical records for accuracy and coding requirements.
• Assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes per guidelines.
• Code inpatient, swing bed, ED, observation, same day surgery and outpatient encounters.
• Review and reconcile charges to support accurate billing.
• Identify documentation deficiencies and coordinate provider queries.
• Support coding audits, record reviews, and corrective actions.
• Maintain HIPAA compliance and protect patient information.
• Collaborate with HIM, clinical staff, and billing to resolve discrepancies.

Skills

ICD-10-CM/ICD-10-PCS knowledge

CPT/HCPCS coding

Documentation review

Attention to detail

Regulatory compliance

Education

CCS (AHIMA)

CCS-P (AHIMA)

RHIT (AHIMA)

RHIA (AHIMA)

CPC (AAPC)

Tools

EHR proficiency

Coding software

Job description

Mountains Community Hospital seeks a detail-oriented Certified Coding Specialist to ensure accurate medical coding, charge capture, and regulatory compliance across hospital and outpatient services.

The role involves reviewing records, assigning ICD-10-CM/PCS, CPT, and HCPCS codes, reconciling charges, and supporting coding audits. Collaboration with HIM, clinical staff, and billing is essential to maintain data integrity and compliant reimbursement.