OP Coding Specialist

Health Information Associates, Inc.; United States; Remote; USD 55,000 - 85,000; Full time

Job summary

Health Information Associates, Inc. is seeking an OP Coding Specialist to code medical records using ICD-10-CM/PCS and CPT guidelines, ensuring accurate DRG assignments. The role emphasizes productivity, accuracy, and compliant communication with CDI teams.

Ideal candidates will have RHIA/RHIT/CCS credentials and 2–3 years of inpatient/outpatient coding experience in acute care. Remote work options are available for qualified applicants.

Qualifications

• Credentials required: RHIA, RHIT, or CCS.
• 2–3 years inpatient/outpatient coding in acute care.
• Proficient with EMR and internet research for coding questions.
• Must have reliable high-speed cable internet (no satellite).
• Ability to work remotely with strong organizational skills.

Responsibilities

• Review medical records and code diagnoses/procedures per ICD-10-CM/PCS and CPT.
• Use TruCode encoder to assign DRGs and MSDRGs accurately.
• Write non-leading queries and communicate with CDI specialists.
• Maintain 95% accuracy and meet productivity standards.
• Adhere to HIPAA and maintain confidentiality.

Skills

RHIA/RHIT/CCS

Inpatient/outpatient coding

EMR experience

Remote work

Research coding questions

Strong communication

Tools

TruCode encoder

Job description

Position:OP Coding Specialist

Location: Pawleys Island, SC

Job Id:189

# of Openings:3

Job Summary

• Codes all requested medical records using the most accurate and appropriate ICD-10-CM/PCS, CPT codes and DRG
• assignment in accordance with regulatory coding guidelines, best practices in the industry and HIA policy and
• procedures. Abstract key data required from the medical information consistent with UHDDS requirements, other
• regulatory and best practices. The coder will meet specified productivity and accuracy standards.

Required Skills and Experience

• RHIA or RHIT or CCS credential
• Minimum 2-3 years inpatient and/or outpatient coding experience in an acute care facility
• Computer proficiency, able to research coding questions and utilize HIA’s internal educational resources
• Experience using Electronic Medical Record (EMR)
• High Speed Internet accessibility via Cable (no Satellite or wireless cell based)
• Independent, focused individual able to work remotely
• Sound organizational, communication and critical thinking skills

Essential Job Functions

Coding

All coding specialists require remote access setup in order to view the client’s EHR. Each user is assigned their ownusername and password. There may also be a separate username and password for the connection platform. Once anemployee has been assigned to a facility, the following will need to occur.

• Reviews and screen the entire medical record and accurately codes the primary/secondary diagnoses and procedures using ICD-10, CPT coding conventions
• Uses TruCode encoder to ensure appropriate reimbursement and accurate DRG & MSDRG assignment
• Writes appropriate, non-leading queries and communicates effectively with client CDI Specialists
• Maintains 95% accuracy rate for DRG or APC and Total codes
• Meets productivity standards according to client requirements
• Responds well to constructive feedback during Quality Control auditsCompletes action plans in a timely manner
• Utilizes Quality Control audit feedback in a positive and productive manner
• Submits coding questions according to HIA policy and procedure

Client Relations

• Maintains professional, positive attitude with HIA and client personnel
• Accurately completes the Coding Log and forwards to client at the end of the day
• Maintains established office hours and begins work in a timely manner
• Seeks approval for any alternate work schedules ahead of time
• Follows client policies and procedures (i.e. specific coding guidelines, abstracting, rebill guidelines, etc.)

Performance and Professionalism

• Maintains strict confidentiality and adheres to HIPAA guidelines
• Exhibits professional demeanor at all times
• Maintains communication by responding promptly to corporate office staff
• Demonstrates flexibility, open mindedness, and versatility in adjusting to changing environments
• Handles constructive feedback with a positive attitude
• Commits to continually improving his/her job skills (i.e. educational sessions)

General Duties

• Maintains accurate expenses and timesheets
• Adheres to all HIA policies and procedures in the HIA Employee Handbook
• Maintains current information in personnel file including CE tracking form and AHIMA membership status
• Promptly returns all requested signed document