Offer summary

Qualifications:

High school diploma or GED required., Certified Professional Coder (CPC or CPC-A) preferred or willingness to obtain certification., Knowledge of medical terminology, anatomy, and physiology preferred., Experience with ICD-10, CPT, and HCPCS coding is preferred..

Key responsibilities:

Review and analyze electronic medical records for completeness and accuracy.

Assign appropriate diagnosis, procedure, and service codes using ICD-10, CPT, and HCPCS.

Ensure coding complies with medical, legal, and regulatory standards and submit codes accurately for billing.

Conduct coding audits, identify discrepancies, and collaborate with clinical staff to resolve documentation issues.

Job description

Jefferson Community Health & Life is looking for a Certified Coder to work full-time. This is NOT a REMOTE position.

Hours: M through Friday 8am - 4:30pm

No weekends and no holidays.

POSITION SUMMARY: The Clinic Coder is responsible for reviewing, analyzing, and accurately coding patient medical records to support timely and compliant billing. This includes assigning appropriate ICD-10, CPT, and HCPCS codes for diagnoses, procedures, and services while ensuring adherence to legal, regulatory, and medical standards. The role supports revenue cycle accuracy, internal audits, and quality assurance initiatives within the clinic.

QUALIFICATIONS:

High school diploma or GED
Certified Professional Coder (CPC or CPC-A), preferred, or willingness to obtain certification.
Knowledgeable of medical terminology, anatomy and physiology preferred.
Experience with ICD-10, CPT and HCPCS coding preferred.
Understanding of health insurance and billing practices preferred
Proficient in computer systems and electronic health records
Strong organization and time management skills
Effective written and verbal communication skills

Essential Job Duties and Responsibilities:

Medical Record Review and Coding

Review electronic medical records for completeness and accuracy
Assign diagnosis, evaluation and management., and procedure codes using ICD-10, CPT, and HCPCS
Verify supporting documentation aligns with assigned codes
Ensure coding meets medical, legal, and regulatory standards
Submit codes accurately and timely for billing and reimbursement
Perform edit checks and correct data entry errors prior to transmittal
Review all documents for authorized signatures and proper patient identification

Quality and Accuracy Review

Conduct coding audits to ensure accuracy and compliance
Identify discrepancies or documentation gaps and work with clinical staff to resolve them
Appraise records for accurate and complete justification of diagnosis and treatment
Research coding questions for other staff to assure quality and accuracy

Compliance and Regulatory Standards

Maintain compliance with federal/state regulations and internal policies, including HIPAA, infection control, and safety standards
Participate in internal and external audits as required
Ensure alignment with JCH&L Compliance Program and Critical Access Hospital regulations

Communication and Team Collaboration

Communicate with clinic staff to clarify documentation or coding issues
Assist in orientation and training of new team members
Participate in department meetings and share expertise with peers

Performance Improvement and Professional Development

Identify and report process concerns, contributing to continuous improvement initiatives
Participate in departmental quality improvement projects and JCH&L committees
Complete required annual education and maintain coding knowledge through ongoing training and resources
Serve as a positive role model and contribute to a collaborative team environment
Attend department meetings, educational programs, and in-services to stay updated on coding regulations and best practices
Assist in training and orientation of new team members

See attached for a full job description

Required profile