HIM (Health Information Management) Coder - Fully Remote!

The Staff Pad has partnered with Blue Ridge Medical Center in Blue Ridge, Georgia. Blue Ridge Medical Center is seeking an experienced Health Information Management (HIM) Coder to join our team in a fully remote capacity. This individual will be responsible for reviewing, analyzing, and assigning diagnostic and procedural codes for inpatient, outpatient, and/or emergency department medical records using ICD-10-CM, CPT, and HCPCS coding systems in accordance with official coding guidelines and facility standards.

Key Responsibilities:

• Review and abstract clinical documentation from patient records to assign accurate codes for diagnoses and procedures
  

• Ensure compliance with federal regulations and hospital policies related to coding and billing
  

• Maintain productivity and quality standards established by the HIM department
  

• Query physicians when appropriate to ensure accurate and complete documentation
  

• Assist in resolving coding-related billing issues or discrepancies
  

• Maintain up-to-date knowledge of current coding guidelines, payer regulations, and industry best practices
  

• Participate in internal audits and ongoing education for coding accuracy and compliance
  

• Communicate effectively with physicians, clinical staff, and HIM leadership
  

Qualifications:

• High school diploma or equivalent required
  

• Associate degree in Health Information Technology or related field preferred
  

• AHIMA or AAPC certification required (RHIA, RHIT, CCS, CPC, or equivalent)
  

• Minimum of 2 years of experience in a healthcare coding role
  

• Strong understanding of ICD-10-CM, CPT, and HCPCS coding systems
  

• Knowledge of CMS guidelines and medical terminology
  

• Familiarity with electronic health record (EHR) systems
  

• Strong attention to detail, organizational skills, and ability to work independently in a remote environment