Certified Coding Specialist

Mountains Community Hospital is seeking a detail-oriented and knowledgeable Certified Coding Specialist to support accurate medical coding, charge capture, documentation review, and regulatory compliance across multiple hospital and outpatient service areas.

The Certified Coding Specialist is responsible for reviewing medical records, assigning appropriate diagnosis and procedure codes, reconciling charges, supporting coding audits, and promoting compliance with applicable coding guidelines and reimbursement requirements. This position works collaboratively with Health Information Management, clinical staff, providers, and other departments to ensure the accuracy, completeness, and integrity of coded health records.

• →Review medical records for documentation accuracy, completeness, and coding requirements.
• →Assign appropriate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes in accordance with established coding guidelines.
• →Code inpatient, swing bed, Emergency Department, observation, same day surgery, endoscopy, Rural Health Clinic, and other outpatient encounters.
• →Review and reconcile charges to support accurate billing and reimbursement.
• →Identify documentation deficiencies and coordinate appropriate provider queries in accordance with established policies and compliance standards.
• →Support internal and external coding audits, record reviews, and corrective action activities.
• →Monitor compliance with applicable coding guidelines, regulatory requirements, and reimbursement standards.
• →Collaborate with clinical, billing, and Health Information Management staff to resolve coding and documentation discrepancies.
• →Participate in quality improvement initiatives and coding education as needed.
• →Maintain the confidentiality and security of patient health information in accordance with HIPAA and hospital policies.
• →Maintain required professional credentials and participate in continuing education to remain current with coding standards and industry changes.
• →Perform other related duties as assigned.

• High school diploma or equivalent required.
• Current, active coding or health information management credential from AHIMA or AAPC, as specified below.
• Ability to interpret medical documentation and apply appropriate coding guidelines across multiple healthcare settings.

• CCS, RHIT, RHIA, or CIC certification.
• Three or more years of medical coding experience.
• Experience coding in a Critical Access Hospital or rural healthcare setting.
• Experience with inpatient, swing bed, Emergency Department, observation, same day surgery, endoscopy, Rural Health Clinic, and outpatient services.
• Familiarity with healthcare billing, charge reconciliation, coding audits, documentation improvement, and regulatory compliance.

Mountains Community Hospital is an equal opportunity employer.

Candidates must possess and maintain at least one current, active credential from the following list:

• Certified Coding Specialist (CCS)
• Certified Coding Specialist–Physician-Based (CCS-P)
• Registered Health Information Technician (RHIT)
• Registered Health Information Administrator (RHIA)

• Certified Professional Coder (CPC)
• Certified Outpatient Coder (COC)
• Certified Inpatient Coder (CIC)

Certification must remain active throughout employment.

• Comprehensive knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and official coding guidelines.
• Knowledge of anatomy, physiology, pharmacology, medical terminology, and healthcare documentation requirements.
• Ability to analyze medical records and apply coding guidelines accurately and consistently.
• Strong attention to detail, organization, and time management.
• Ability to meet established productivity and quality standards while maintaining coding accuracy and compliance.
• Effective written and verbal communication skills and the ability to work collaboratively with providers and interdisciplinary teams.
• Ability to maintain confidentiality and exercise sound professional judgment.
• Proficiency with electronic health records, coding software, and related computer applications.

This is a full-time position working 40 hours per week, with flexible scheduling options based on departmental needs.