We know it's not just about finding a job. It's about finding a place where you are respected, valued, and where your work is purposeful and fulfilling. At CHS, our coding team recognizes your individual talents, encourages professional development, and provides opportunity for career advancement.
Community Health Systems is one of the nation’s leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 14 states, CHS is committed to helping people get well and live healthier. CHS operates 70 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
Job Summary
The Coder is responsible for reviewing medical records and assigning accurate ICD-10-CM, CPT, and HCPCS codes for diagnoses and procedures across various healthcare settings, including outpatient, emergency department, and ancillary services. This role ensures coding accuracy, compliance with regulatory guidelines, and adherence to corporate policies, supporting proper reimbursement and revenue cycle integrity. The Coder collaborates with healthcare providers, revenue cycle teams, and compliance departments to resolve documentation issues and maintain high standards of coding performance.
Essential Functions
- Assigns accurate ICD-10-CM, CPT, and HCPCS codes for diagnoses, procedures, and services based on documentation in the medical record.
- Ensures coding compliance with federal regulations, payer policies, corporate standards, and industry guidelines, including LCD/NCD requirements.
- Reviews medical records and abstracts necessary information, ensuring documentation supports assigned codes for billing and reimbursement.
- Resolves coding edits, discrepancies, and denials, collaborating with appropriate departments to ensure accurate claim submission.
- Maintains productivity and quality benchmarks, achieving organizational accuracy standards and ensuring timely completion of coding assignments.
- Participates in ongoing education and training, staying updated on changes in ICD-10, CPT, HCPCS, and regulatory compliance.
- Works with revenue cycle teams, providers, and compliance staff to clarify documentation and coding-related issues.
- Uses electronic medical records (EMR), coding software, and hospital billing systems to perform daily coding activities.
- Performs other duties as assigned.
- Complies with all policies and standards.
Qualifications
- H.S. Diploma or GED required
- Associate Degree in Health Information Management, Healthcare Administration, or a related field preferred
- 1-3 years of experience in medical coding in outpatient, emergency department, ancillary, or physician coding required
- Experience coding for multiple specialties or hospital facilities in a centralized or corporate coding environment preferred
Knowledge, Skills and Abilities
- Strong knowledge of ICD-10-CM, CPT, HCPCS, and medical coding guidelines.
- Understanding of payer reimbursement policies, LCD/NCD compliance, and regulatory coding standards.
- Ability to analyze clinical documentation, ensure accurate coding assignments, and resolve coding edits.
- Familiarity with electronic health records (EHR), coding software, and hospital billing systems.
- Strong attention to detail and problem-solving skills, ensuring coding accuracy and compliance.
- Effective communication and collaboration skills, working with multiple stakeholders to resolve coding-related issues.
- Knowledge of HIPAA regulations, medical record confidentiality, and corporate compliance policies.
Licenses and Certifications
- Certified Coder-AHIMA or AAPC (CPC, CPC-A, COC) required or
- CCA - Certified Coding Associate AHIMA required or
- CCS-Certified Coding Specialist AHIMA required
- Additional specialty certifications (e.g., CCS-P, CEDC, RHIT, RHIA) preferred
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