Senior Clinical Coder: Precise Medical Coding & Compliance

Appalachian Regional Healthcare, Inc.; Georgia; On-site; USD 60,000 - 85,000; Full time

Job summary

Appalachian Regional Healthcare (ARH) seeks a Clinical Coder to review medical records and assign codes for reimbursement and statistics, ensuring accuracy and compliance across inpatient, outpatient, and physician services.

Responsibilities include maintaining knowledge of ICD-9-CM, CPT-4/H CPC-H, CPT Assistant guidelines, government payment systems, and collaborating with the Business Office to reconcile denied claims while educating physicians on documentation clarity.

Qualifications

• Minimum two years of coding experience.
• RHIA/RHIT AHIMA approval required for inpatient or hospital outpatient coding.

Responsibilities

• Review medical record documentation and assign codes for reimbursement and statistics.
• Maintain knowledge of ICD-9-CM, CPT-4/H CPC-H, and coding guidelines.
• Assist with coding audits and physician education as needed.
• Work with Business Office to reconcile denied claims due to coding issues.

Skills

Coding fundamentals

Medical record review

Compliance knowledge

Education

Bachelor’s or Associate Degree with AHIMA RHIA/RHIT approval

Tools

HBOC system

3M coding system

Job description

Appalachian Regional Healthcare (ARH) seeks a Clinical Coder to review medical records and assign codes for reimbursement and statistics, ensuring accuracy and compliance across inpatient, outpatient, and physician services.

Responsibilities include maintaining knowledge of ICD-9-CM, CPT-4/H CPC-H, CPT Assistant guidelines, government payment systems, and collaborating with the Business Office to reconcile denied claims while educating physicians on documentation clarity.