Coder IV 267855 (26958)

This position supervises the coding section of the Medical Records department, performs day-to-day review, analysis and coding of patient records, monitors coding for quality control, codes diagnosis and operative procedures, reviews and analyzes the medical records of discharged patients, schedules work assignments, trains new employees and performs other duties as assigned.

Location: This position allows for a hybrid (remote/in office) work environment for a State of Hawaii resident, with a requirement for an incumbent living outside of Hilo to work on-site on the Big Island at regular intervals throughout the year (approximately four times per year for visits of approximately one week each). Airfare and lodging will be paid for by the organization, in accordance with our policies.

Required Qualifications : To qualify, you must meet all of the following requirements. Please note that unless specifically indicated, the required education and experiences may not be gained concurrently. In addition, qualifying work experience is credited based on a 40-hour workweek.

Education : High school diploma or equivalent. Received ICD-10 training, coursework, or classes, within the last 2 years

Specialized Experience : Two (2) years of work experience in a health information management department of a hospital or allied medical care facility which involved the performance of paraprofessional health information management work requiring the knowledge of the nature and uses of medical records, medical terminology and established health information management classification, coding, filing and indexing systems; and the ability to analyze and file medical records and prepare reports and summaries from medical records.

Coding Experience : In addition to the Specialized Experience, two (2) years of experience in a health information management department of a hospital or allied medical care facility which involved the performance of assigning codes from the listing of current ICD-CM/PCS, CPT-4 and HCPCS for all diagnoses and procedures and other services.

Substitutions Allowed :

1. Excess Coding Experience may be substituted for Specialized Experience.

2. Successful completion of an associate degree in a health information technology program (HIT) accredited by the Commission on Accreditation of Allied Health Education Programs may be substituted for up to one (1) year of Specialized Experience.

3. Successful completion of an associate degree in a health information technology program (HIT) in a foreign country whose professional association has an agreement of reciprocity with the American Health Information Management Association (AHIMA) may be substituted for up to one (1) year of Specialized Experience.

4. Successful completion of the correspondence course or the AHIMA Independent Study Programs in health information technology (HIT) and an associate’s degree from an accredited college may be substituted for up to 1 (one) year of Specialized Experience.

5. Possession of a current Registered Health Information Technicians (RHIT) certificate received through successful qualification on the national accreditation examination administered by the American Health Information Management Association may be substituted for the Specialized Experience.

If a degree is used to substitute for the education requirement, it may not be used again towards the experience requirement. If work experience is used to substitute for education, it may not be used again to meet the experience requirement. If the applicant holds more than one degree, transcripts must be provided and a thorough review will be conducted by the human resources staff in order for more than one degree to be credited toward the minimum qualification requirements (if applicable).

Certification Required :

Valid CCS from AHIMA or CIC or CEMC from AAPC

AHIMA (American Health Information Management Association):
CCS (Certified Coding Specialist – hospital) [inpatient coding]

AAPC (American Academy of Professional Coders):
CIC (Certified Inpatient Coder) [inpatient coding]
CEMC (Certified Evaluation and Management Coder)

Supervisory Aptitude : Must demonstrate possession of supervisory aptitude. Supervisory aptitude is the demonstration of aptitude or potential for the performance of supervisory duties through successful completion of regular or special assignments which involve some supervisory responsibilities or aspects; by serving as a group or team leader, previous work experience in a position that demonstrates or performs supervisory functions or in similar work in which opportunities for demonstrating supervisory capabilities exist; by completion of training courses in supervision accompanied by application of supervisory skills in work assignments; or by favorable appraisals by a supervisor indicating the possession of supervisory potential.

Updated 6/18/2025

Salary : $62,796