Coder (Full-Time)

Boone Memorial Health is seeking an experienced Coder to join our Health Information Management (HIM) team. This role is responsible for ensuring accurate and timely coding of outpatient clinic encounters using ICD-10-CM, CPT, and HCPCS code sets in compliance with CMS guidelines and third-party payer rules. The position works closely with other departments to support the revenue cycle, resolve billing edits and denials, and may cross-train to assist with inpatient coding and charging functions.

What We Offer

• Competitive pay based on experience

• Comprehensive medical, dental, and vision insurance

• 403(b) retirement plan with employer match

• Paid time off (PTO)

• Employer-paid life insurance & short-term disability

• Opportunities for professional development and continuing education

Who We Are
Boone Memorial Health (BMH) is a growing, rural Critical Access Health System located in Madison, West Virginia. At the core of our system is a 25-bed inpatient hospital with a 24/7 Emergency Department and a network of outpatient clinics and specialty services throughout Boone County and beyond. We are committed to delivering high-quality, compassionate care to our community, ensuring patients have access to essential services close to home.

Qualifications

• Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), or Registered Health Information Technician (RHIT)

• Advanced knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines

• Strong understanding of anatomy, physiology, pathophysiology, pharmacology, and medical terminology

• Experience using computerized encoding and abstracting software

• At least two years of coding experience in an outpatient clinic setting; Rural Health Clinic experience preferred

• Excellent written and verbal communication skills

• Ability to work independently, manage multiple priorities, and maintain accuracy under deadlines

Key Responsibilities

• Review medical record documentation to assign accurate diagnosis and procedure codes

• Abstract patient information into the electronic health record, ensuring data integrity

• Apply CMS and third-party payer coding guidelines to support ethical and accurate code assignment

• Resolve billing edits and denials using claims and denial management software

• Assist providers and staff with coding-related inquiries in a timely, professional manner

• Maintain productivity and quality standards as set by the department

• Participate in ongoing education to remain current with coding rules, regulations, and best practices

Other Duties
Please note this job posting is not designed to cover or contain a comprehensive listing of duties or responsibilities. Duties and responsibilities may change at any time.

Equal Employment Opportunity Policy Statement
Boone Memorial Hospital, Inc. provides equal employment opportunities to all personnel and applicants for employment and prohibits discrimination, harassment, prejudice, or behavior of any type based on race, color, religion, age, sex (including pregnancy), national origin, disability status, family medical history or genetic information, past or present military service, sexual orientation, gender identity or expression, family or parental status, political affiliation, or any other characteristic protected by federal, state, or local laws.

QUALIFICATIONS:

• Must be a high school graduate or equivalent.
• Must have complete understanding of medical terminology.
• Must possess knowledge of current coding rules and regulations of all payers. Must possess full knowledge of ICD-10 and CPT coding guidelines applicable to hospital reimbursement.
• Previous office experience a must.

Requirements:

1. Maintain a Professional appearance while on the job either business casual or uniforms as required per department guidelines.
2. Ability to displace good customer service, people skills and team player in a busy office setting.
3. Must be able to spell and alphabetize accurately.
4. Have good computer skills, ability to learn new software programs when required
5. Must be able to maneuver through the hospital/clinic charts to access appropriate information to assure proper coding.
6. Ability to communicate effectively and clearly both in writing and orally.

Office Guidelines & Responsibilities:

• Manages and maintains clean working environment.
• Greets and directs all visitors, including vendors, clients, job candidates and customers with friendly and professional courtesy.
• Ensures completion of paperwork as directed.
• Manages efficient patient flow to and from the patient rooms.
• Manages telephone and distributes messages to appropriate parties, including doctors and other staff members appropriately and accurately.
• Maintains patient confidentiality. - HIPAA compliant at all times.
• Handles special administrative projects as well as overflow work from department as directed.
• Performs general office duties as directed.
• Assist other administrative staff with overflow work, including word processing, data entry, spreadsheets and internet research tasks.
• Discharges patient in a timely and efficient manner; distributes patient education materials and physician summary at every visit; schedules follow up appointment.
• Operates basic office equipment.
• Sorts and routes incoming mail and other requests efficiently and in a timely manner.
• Other duties as assigned.

Guidelines:

• Appropriate office attire required. Compliant with BMH Uniform Policy.
• Hours: Mon-Fri. (actual times may vary according to patient schedule)
• Notify supervisor promptly if absence or tardiness becomes necessary (unapproved absences will not be excused and will be kept in personal record).
• Performance will be evaluated at the end of 90 days and then annually. May be performed more frequently at the discretion of the supervisor.
• Use of personal cell phones prohibited during work hours (permitted during breaks & lunch only)
• Obscenities, gestures, or inappropriate behavior strictly prohibited.
• All knowledge of HIPPA rules and regulations will be strictly enforced.

Physical Demands

Ability to perform various motor skills such as; standing or sitting for long periods of time, walking, lifting (up to 25 pounds) using proper lifting techniques, stair climbing, reaching, bending, twisting, pushing, pulling, squatting, grasping and arm-hand coordination on a continuous basis.