Medical Coding Specialist

AAPC; Shenandoah (TX); On-site; USD 55,000 - 75,000; Full time

Job summary

AAPC seeks a skilled Medical Coder to review medical records and assign ICD-10-CM, CPT-4, and HCPCS codes for billing across Emergency, Inpatient, and Ancillary services.

The ideal candidate has 3+ years of coding experience, RHIA/RHIT or CPC family certifications, and strong knowledge of HIPAA guidelines. Proficiency with EMR systems like EPIC, Cerner, Stockell InsightCS is a plus, and attention to detail is essential for accurate reimbursements.

Qualifications

• 3+ years experience coding using ICD-10-CM, HCPCS and CPT codes.
• RHIA or RHIT certification with 3+ years experience, or CPC/CPC-H/CIC/COS/CCS preferred.
• Fluency in English; written and oral communication.

Responsibilities

• Review clinical documentation and diagnostic results to extract data and apply ICD-10-CM and CPT-4 codes.
• Review documentation to apply HCPCS and facility level Evaluation & Management codes for billing.
• Abstract and code diagnoses and procedures from health records.

Skills

English fluency

HIPAA knowledge

Microsoft Office

Education

RHIA or RHIT certification with 3+ years experience

CPC / CPC-H / CIC / COS / CCS preferred

Tools

EPIC Community Connect

Cerner

Stockell InsightCS

PICIS EMR

Job description

Position Overview

The purpose of this position is to review medical records documentation to select and sequence the appropriate ICD-10-CM diagnosis codes, verify the correct CPT-4/HCPCS procedure codes are attached and to capture charges for laboratory, radiology, supplies and medical procedures within the following types of records: Emergency Facilities, Inpatient, Observation and Ancillary services.

Essential Job Functions

• Review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM and CPT-4 to include IV infusion and injection codes
• Review clinical documentation and diagnostic results to extract data and apply HCPCS and facility level Evaluation & Management codes for billing
• Abstract and code diagnoses and procedures from health records by using appropriate classification systems

Other Job Functions

• Attend staff meetings or other company sponsored or mandated meetings as required
• Perform additional duties as assigned
• Ability to work off hours and overtime

Basic Qualifications

• High School Diploma or GED, required
• CPC, CPC-H, CIC, COS or CCS, or other coding certification, preferred, OR RHIA or RHIT certification with 3+ years of experience, required
• 3+ years experience coding using ICD-10-CM, HCPCS and CPT codes, required
• Experience coding emergency or hospital ancillary services, preferred
• Expertise in pathophysiology, anatomy, medical terminology, coding systems, techniques and procedures, preferred
• Proficiency using Microsoft Office Tools (Microsoft Word, Excel and Outlook), required
• Proficiency with patient accounting systems, preferred
• Experience using Stockell InsightCS patient accounting system, EPIC Community Connect, Cerner and/or PICIS EMR, preferred
• Experience and knowledge calculating and applying IV Infusion and Injection codes, preferred
• Knowledge of all Health Insurance Portability and Accountability Act (HIPAA) guidelines and regulations, required
• ICD 10 Training/Education
• Position requires fluency in English; written and oral communication