Medical Coder – Multi-Specialty (Hospital & Clinic)

Medical Coder – Multi-Specialty (Hospital & Clinic)

Location: Kingwood or Remote

Employment Type: Full-Time

Reports To: Revenue Cycle Manager

Position Summary

We are seeking a highly skilled, detail-driven, and high-producing Certified Medical Coder with

multi-specialty experience to join our growing healthcare organization. This role requires strong

proficiency in both hospital and outpatient clinic coding, with specialty expertise in:

• Cardiology

• Urology

• Dermatology

• General Surgery

• Pulmonology

The ideal candidate has 2 years of coding experience, maintains current certification (AAPC or

equivalent), and consistently demonstrates accuracy, productivity, and strong clinical

understanding across multiple service lines.

This is a high-impact role within a performance-driven, collaborative organization focused on

compliance, precision, and revenue integrity.

Core Responsibilities

Coding & Documentation Review

• Accurately assign ICD-10-CM, CPT, and HCPCS Level II codes for hospital and outpatient

encounters

• Review provider documentation to ensure completeness and compliance

• Apply correct modifiers and sequencing for multi-specialty procedures

• Identify documentation gaps and communicate clarification requests when necessary

• Ensure accurate E/M level selection according to current guidelines

Specialty Coding (Required Experience)

• Cardiology: Stress tests, echoes, cardiac caths, arrhythmias, CHF, CAD

• Urology: Cystoscopy, TURP, prostate procedures, kidney stones

• Dermatology: Biopsies, excisions, Mohs, lesion destruction

• General Surgery: Hernia repair, cholecystectomy, minor/major procedures

• Pulmonology: PFTs, bronchoscopy, COPD, sleep apnea

Compliance & Revenue Integrity

• Maintain adherence to CMS, NCCI edits, and payer-specific guidelines

• Ensure accurate HCC/RAF capture where applicable

• Participate in internal audits and quality assurance initiatives

• Maintain productivity benchmarks while preserving coding accuracy

Collaboration

• Work closely with providers to improve documentation quality

• Support billing and RCM teams in claim resolution

• Participate in coding education updates and regulatory changes

Required Qualifications

• Current certification through AAPC (CPC, CPC-H, or equivalent) or AHIMA (CCS, CCS-P)

• Minimum 2 years of hands-on coding experience

• Experience coding both hospital and outpatient clinic encounters

• Multi-specialty coding experience (cardiology, urology, dermatology, general surgery,

pulmonology)

• Strong knowledge of:

o ICD-10-CM

o CPT

o HCPCS

o NCCI edits

o E/M 2021 guidelines

o HCC/RAF risk adjustment concepts

• Experience with EMR systems (eCW preferred but not required)

Preferred Qualifications

• Experience in high-volume practice settings

• Audit experience or participation in compliance reviews

• Familiarity with V28 risk adjustment updates

• Strong understanding of modifier application and surgical global periods

Performance Expectations

• Maintain ≥ 95% coding accuracy rate

• Meet or exceed established daily/weekly productivity standards

• Maintain timely turnaround on all assigned charts

• Demonstrate proactive communication and ownership

• Contribute to continuous improvement initiatives

What We’re Looking For

We are looking for a coder who:

• Is highly organized and efficient

• Thrives in a fast-paced environment

• Has strong clinical reasoning skills

• Takes pride in precision and compliance

• Communicates professionally and clearly

• Understands the financial impact of coding accuracy

Why Join Us?

• Collaborative, supportive leadership

• Multi-specialty exposure

• Growth-focused environment

• Competitive compensation

• Performance-driven culture

• Opportunity to make measurable impact on revenue integrity and compliance

Compensation

Competitive and based on experience.

Certification and specialty experience strongly influence compensation range.