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Medasource

HIM Hospital Coder

Medasource, Houston, Texas, United States

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Overview We are seeking a detail-oriented Hospital Coder I to join our client’s Health Information Management team. This role is responsible for reviewing and coding inpatient or outpatient medical records, ensuring compliance with regulatory guidelines, and supporting accurate clinical documentation. The ideal candidate will have experience with ICD-10-CM, CPT, HCPCS Level II, and DRG assignment.

Responsibilities

Code all diagnostic and procedural information from medical records using ICD-10-CM, CPT, and HCPCS Level II.

Assign and validate DRGs for inpatient cases; resolve discrepancies as needed.

Abstract and verify all medical data into hospital databases for accurate reporting.

Collaborate with physicians to clarify and document diagnoses and procedures.

Ensure coding accuracy and compliance with CMS, JCAHO, OSHPD, and local policies.

Meet established productivity and quality standards for coders.

Participate in documentation audits to monitor compliance with regulatory requirements.

Required Qualifications

Certification: Certified Coding Associate (CCA) required; eligibility for CCS, RHIT, or RHIA preferred.

Experience: Minimum 2 years of hospital coding/abstracting experience within the last 5 years.

Education: High school diploma or GED required; coursework in medical terminology, anatomy/physiology, and coding conventions

required .

Systems: Basic PC skills required; hospital coding software experience preferred.

Must achieve 75% or higher on the Kaiser coding test.

Maintain a minimum of 10 CE units annually and current coding credential.

Seniority level

Mid-Senior level

Employment type

Full-time

Job function

Accounting/Auditing

Industries

Hospitals and Health Care

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