5 Health Information Coder Job Description Templates and Examples | Himalayas

5 Health Information Coder Job Description Templates and Examples

Health Information Coders are responsible for translating healthcare diagnoses, procedures, and medical services into standardized codes for billing, insurance, and record-keeping purposes. They ensure accuracy and compliance with coding standards and regulations. Junior coders focus on learning coding systems and handling simpler cases, while senior coders and managers oversee complex coding tasks, ensure quality control, and provide guidance to teams.

1. Junior Health Information Coder Job Description Template

Company Overview

[$COMPANY_OVERVIEW]

Role Overview

We are looking for a detail-oriented Junior Health Information Coder to join our healthcare team. In this role, you will play a crucial part in ensuring the accurate coding of patient health information, contributing to the integrity and quality of our data management processes. You will work closely with experienced coders and healthcare professionals to gain valuable insights and skills in medical coding.

Responsibilities

  • Assist in the review and coding of medical records using appropriate classification systems such as ICD-10, CPT, and HCPCS Level II
  • Ensure compliance with coding guidelines and regulations to maintain data integrity and accuracy
  • Collaborate with healthcare providers to clarify documentation and resolve discrepancies in patient records
  • Participate in ongoing education and training to stay updated with coding practices and healthcare regulations
  • Utilize coding software and electronic health record (EHR) systems to enter and manage coded data
  • Support the auditing process by preparing required documentation and reports

Required Qualifications

  • Associate degree in Health Information Technology or related field
  • Basic knowledge of medical terminology and health information management
  • Understanding of coding guidelines, including ICD-10 and CPT
  • Proficiency in using computers and EHR systems
  • Strong attention to detail and commitment to accuracy

Preferred Qualifications

  • Certification in medical coding (e.g., CCS, CPC) is a plus, but not mandatory
  • Experience in a healthcare or clinical setting is advantageous
  • Familiarity with coding software and tools

Technical Skills and Relevant Technologies

  • Proficient in Microsoft Office Suite (Word, Excel, PowerPoint)
  • Experience with electronic health record (EHR) systems
  • Knowledge of medical coding software

Soft Skills and Cultural Fit

  • Excellent communication skills, both verbal and written
  • Ability to work collaboratively within a team environment
  • Strong organizational skills and ability to manage multiple tasks
  • Commitment to professional development and continuous learning

Benefits and Perks

Annual salary range: [$SALARY_RANGE]

Additional benefits may include:

  • Health, dental, and vision insurance
  • Retirement savings plan with employer match
  • Flexible work schedule
  • Professional development opportunities
  • Paid time off and holidays

Equal Opportunity Statement

[$COMPANY_NAME] is committed to diversity in its workforce and is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, gender, national origin, age, disability, veteran status, sex, gender expression or identity, sexual orientation or any other basis protected by applicable law.

Location

This is a fully remote position.

2. Health Information Coder Job Description Template

Company Overview

[$COMPANY_OVERVIEW]

Role Overview

We are looking for a meticulous and detail-oriented Health Information Coder to join our dynamic team at [$COMPANY_NAME]. In this critical role, you will be responsible for accurately coding and classifying medical diagnoses and procedures in compliance with relevant regulations and standards. Your expertise will help ensure the integrity of our health information systems, while contributing to improved patient care and operational efficiency.

Responsibilities

  • Review patient records and assign appropriate ICD, CPT, and HCPCS codes for diagnoses and procedures with a focus on accuracy and compliance.
  • Collaborate with healthcare providers to clarify diagnoses and ensure complete and accurate coding.
  • Stay updated on coding guidelines, regulations, and best practices to ensure compliance with local, state, and federal regulations.
  • Conduct audits of coded data to identify discrepancies and recommend corrective actions to enhance coding accuracy.
  • Utilize electronic health record (EHR) systems and coding software to maintain accurate and efficient coding practices.
  • Participate in ongoing education and training sessions to enhance coding skills and knowledge of industry changes.

Required and Preferred Qualifications

Required:

  • Certification as a Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), or equivalent coding certification.
  • 2+ years of experience in health information coding in a clinical setting.
  • Strong understanding of medical terminology, anatomy, and physiology.
  • Proficient in using electronic health record (EHR) systems and coding software.

Preferred:

  • Experience with risk adjustment coding and familiarity with various payor guidelines.
  • Knowledge of data management and health information systems.
  • Strong analytical skills with attention to detail and accuracy.

Technical Skills and Relevant Technologies

  • Proficiency in coding software and electronic health records (EHR) systems.
  • Familiarity with medical billing software and coding databases.
  • Experience with data analysis tools and reporting software.

Soft Skills and Cultural Fit

  • Exceptional attention to detail and a commitment to maintaining high standards of accuracy.
  • Strong communication skills, with the ability to collaborate effectively with clinical staff.
  • Ability to work independently and manage time effectively in a hybrid work environment.
  • A proactive approach to problem-solving and a passion for continuous learning and improvement.

Benefits and Perks

Annual salary range: [$SALARY_RANGE]

Additional benefits may include:

  • Flexible working hours and hybrid work arrangements.
  • Comprehensive health, dental, and vision insurance plans.
  • Retirement savings plan with company match.
  • Generous paid time off and holiday schedule.
  • Opportunities for professional development and continuing education reimbursement.

Equal Opportunity Statement

[$COMPANY_NAME] is committed to fostering a diverse and inclusive workplace. We are proud to be an Equal Opportunity Employer and do not discriminate based on race, color, religion, creed, gender, national origin, age, disability, veteran status, sexual orientation, or any other protected status under applicable law. All qualified applicants are encouraged to apply.

Location

This is a hybrid position, requiring successful candidates to work from the office at least 3 days a week in [$COMPANY_LOCATION].

3. Senior Health Information Coder Job Description Template

Company Overview

[$COMPANY_OVERVIEW]

Role Overview

We are seeking a highly skilled Senior Health Information Coder to join our innovative team at [$COMPANY_NAME]. In this fully remote position, you will leverage your extensive coding knowledge and expertise in health information management to ensure accurate coding of medical records, enhance data quality, and support improved patient outcomes through precise documentation.

Responsibilities

  • Review and analyze patient medical records for accurate coding and documentation in compliance with regulatory requirements and industry standards.
  • Utilize advanced coding systems, including ICD-10-CM, CPT, and HCPCS, to assign appropriate codes to diagnoses, procedures, and services rendered.
  • Collaborate with healthcare providers to clarify documentation discrepancies and ensure comprehensive and accurate coding practices.
  • Conduct audits and provide feedback to improve coding accuracy and compliance, contributing to overall quality improvement initiatives.
  • Stay current with coding updates, guidelines, and regulatory changes to maintain compliance and enhance coding practices.
  • Provide training and mentorship to junior coders, fostering an environment of continuous learning and professional development.

Required and Preferred Qualifications

Required:

  • Bachelor's degree in Health Information Management or a related field.
  • 5+ years of experience in health information coding with a strong understanding of coding principles and guidelines.
  • Certification as a Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS).
  • Proficient in using electronic health record (EHR) systems and coding software.

Preferred:

  • Experience in a healthcare setting with knowledge of clinical documentation improvement (CDI).
  • Advanced knowledge of medical terminology, anatomy, and physiology.
  • Demonstrated ability to analyze complex clinical data and provide actionable insights.

Technical Skills and Relevant Technologies

  • Expertise in ICD-10-CM, CPT, and HCPCS coding.
  • Proficiency in electronic health record (EHR) systems and coding software.
  • Familiarity with data analytics tools and coding audits.

Soft Skills and Cultural Fit

  • Exceptional attention to detail and accuracy in coding practices.
  • Strong analytical and problem-solving skills, with the ability to interpret complex medical information.
  • Excellent communication skills, both written and verbal, fostering collaboration with healthcare professionals.
  • Commitment to upholding ethical standards and confidentiality in handling patient information.

Benefits and Perks

We offer a competitive salary and comprehensive benefits, including:

  • Health, dental, and vision insurance
  • 401(k) plan with company match
  • Generous paid time off and holiday schedule
  • Continuing education and professional development opportunities

Equal Opportunity Statement

[$COMPANY_NAME] is committed to diversity in its workforce and is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, gender, national origin, age, disability, veteran status, sex, gender expression or identity, sexual orientation, or any other basis protected by applicable law.

Location

This is a fully remote position.

4. Lead Health Information Coder Job Description Template

Company Overview

[$COMPANY_OVERVIEW]

Role Overview

We are looking for a highly skilled Lead Health Information Coder to join our dynamic team at [$COMPANY_NAME]. In this pivotal role, you will oversee the coding process for health information, ensuring accuracy and compliance with national coding standards. You will lead a team of coders while collaborating with clinical staff to enhance documentation practices and promote quality patient care.

Responsibilities

  • Lead and mentor a team of health information coders, fostering professional development and ensuring adherence to coding guidelines
  • Review and validate coding for accuracy using ICD-10-CM, CPT, and HCPCS Level II coding systems
  • Collaborate with clinical teams to identify documentation improvement opportunities and implement training programs
  • Conduct regular audits of coding practices to ensure compliance with regulatory requirements and best practices
  • Utilize data analytics to monitor coding trends and implement solutions to enhance coding efficiency and accuracy
  • Stay up-to-date with coding guidelines, regulations, and industry best practices to ensure the highest standards of coding

Required and Preferred Qualifications

Required:

  • Certification as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT)
  • 5+ years of experience in health information coding, with a proven track record of leadership in a coding environment
  • Deep understanding of medical terminology, anatomy, and healthcare regulations
  • Experience with electronic health record (EHR) systems and coding software

Preferred:

  • Certification as a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC)
  • Experience in a health information management role within a clinical setting
  • Knowledge of healthcare reimbursement methodologies and compliance regulations

Technical Skills and Relevant Technologies

  • Proficiency in coding software and electronic health record (EHR) systems
  • Strong analytical skills with the ability to interpret and utilize data for performance improvement
  • Familiarity with healthcare analytics tools and reporting systems

Soft Skills and Cultural Fit

  • Exceptional communication skills, both verbal and written, with the ability to convey complex information clearly
  • Strong leadership skills with a collaborative and team-oriented approach
  • Detail-oriented mindset with a commitment to maintaining high standards of quality
  • Ability to manage multiple priorities and adapt in a fast-paced environment
  • A passion for continuous improvement and dedication to enhancing patient care through accurate coding practices

Benefits and Perks

We offer a competitive compensation package, including:

  • Annual salary range: [$SALARY_RANGE]
  • Comprehensive health benefits, including medical, dental, and vision coverage
  • Flexible work hours and remote work arrangements
  • Generous paid time off and wellness programs
  • Opportunities for professional development and continuing education

Equal Opportunity Statement

[$COMPANY_NAME] is committed to building a diverse workforce and is proud to be an Equal Opportunity Employer. We encourage applicants from all backgrounds to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, creed, gender, national origin, age, disability, veteran status, sexual orientation, gender identity or expression, or any other basis protected by applicable law.

Location

This is a remote position within [$COMPANY_LOCATION].

We encourage applicants to apply even if they do not meet all the requirements. Your unique experiences may still make you an excellent fit for this role!

5. Health Information Coding Manager Job Description Template

Company Overview

[$COMPANY_OVERVIEW]

Role Overview

We are seeking a highly skilled and experienced Health Information Coding Manager to lead our coding team in ensuring the accuracy and compliance of medical coding practices. This role will involve overseeing daily operations, developing coding strategies, and enhancing coding efficiency while ensuring adherence to healthcare regulations and standards.

Responsibilities

  • Manage and mentor a team of health information coders, providing guidance and support to promote professional development and maintain high-quality standards.
  • Oversee the coding process for medical records, ensuring accurate and timely coding of diagnoses and procedures in accordance with the latest coding guidelines.
  • Implement and monitor performance metrics for coding accuracy and productivity, driving continuous improvement initiatives across the team.
  • Develop and deliver training programs for coding staff to keep them updated on changes in coding regulations, policies, and best practices.
  • Collaborate with clinical staff, compliance, and revenue cycle teams to address any coding-related issues and enhance overall operational efficiency.
  • Conduct regular audits of coded data and provide feedback to coders to ensure compliance with CMS and other regulatory requirements.
  • Stay current with industry trends and changes in coding practices, ensuring the organization remains compliant and competitive.

Required and Preferred Qualifications

Required:

  • Bachelor's degree in Health Information Management, Nursing, or a related field.
  • 5+ years of experience in medical coding, with a minimum of 2 years in a supervisory or managerial role.
  • Active coding certification (e.g., CPC, CCS, CCS-P, or RHIT) from a recognized organization.
  • In-depth knowledge of ICD-10, CPT, and HCPCS coding systems, as well as federal and state regulations governing medical coding.

Preferred:

  • Experience with electronic health record (EHR) systems and coding software.
  • Demonstrated success in process improvement and team leadership within a healthcare setting.
  • Master’s degree in Health Information Management or related field.

Technical Skills and Relevant Technologies

  • Proficiency in medical coding software and EHR systems.
  • Strong analytical skills to evaluate coding accuracy and compliance.
  • Experience with data analysis tools and reporting software.

Soft Skills and Cultural Fit

  • Exceptional leadership and team management abilities.
  • Strong communication skills, both verbal and written, to effectively engage with diverse stakeholders.
  • Ability to work collaboratively in a fast-paced, hybrid work environment.
  • Detail-oriented with a strong commitment to accuracy and compliance.
  • Problem-solving mindset with a focus on continuous improvement.

Benefits and Perks

Annual salary range: [$SALARY_RANGE]

Additional benefits may include:

  • Health, dental, and vision insurance coverage.
  • 401(k) plan with company match.
  • Generous paid time off and holiday schedule.
  • Professional development opportunities and continuing education support.
  • Flexible work arrangements to support work-life balance.

Equal Opportunity Statement

[$COMPANY_NAME] is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, disability, or veteran status. We encourage individuals from all backgrounds to apply.

Location

This is a hybrid position, where successful candidates will be expected to work from the office at least 3 days a week at [$COMPANY_LOCATION].

We encourage applicants to apply even if they don't meet all the requirements. Your unique experiences and perspectives matter to us!

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