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Coding Specialist

United States, Sacramento Employment contract 38.29 - 42.54 USD / Hour · Job Posted June 30, 2026
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Job Description

In this pivotal role, you will be instrumental in maintaining the highest standards of medical coding, directly impacting the financial health of the organization and the quality of patient data used for critical decision-making.

Job Responsibility

  • Review medical record documentation and accurately assign appropriate diagnostic and procedural codes (ICD-10-CM/PCS) for inpatient services
  • Determine the correct payment groups, such as Medicare Severity-Diagnosis Related Group (MS-DRG) or All Patient Refined Diagnosis Related Group (APR-DRG), ensuring accurate reimbursement
  • Verify patient discharge disposition, assign correct sources of admission, and apply appropriate present on admission (POA) indicators for regulatory reporting
  • Ensure all assigned codes accurately reflect the documented reason for the visit and support the care provided
  • Abstract required data elements per facility specifications and maintain compliance with federal, state, and third-party regulations, as well as professional coding guidelines and ethics
  • Collaborate effectively with clinical documentation specialists and medical staff to clarify documentation, obtain missing information, and ensure comprehensive medical records
  • Monitor accounts for timely and compliant processing through the revenue cycle, contributing to the organization’s financial integrity
  • Consistently meet and exceed established quality and productivity standards for coding and abstracting
  • Stay abreast of current requirements from relevant regulatory bodies, coding compliance initiatives, quality indicators, and patient safety indicators to ensure clean claims and optimal reimbursement
  • Utilize industry-standard coding and auditing tools and reference materials with high competency and accuracy
  • Participate in required meetings and educational sessions, completing annual learning programs to ensure continuous professional growth and maintain expertise

Requirements

  • High School Diploma or GED
  • Successful completion of a Coder Proficiency Exam (pre-hire)
  • Certifications: One of the following: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS)
  • Expertise in ICD-10-CM/PCS coding conventions for inpatient medical records
  • In-depth knowledge of diagnosis/procedure grouping schemes, including MS-DRGs and APR-DRGs
  • Strong understanding of professional coding ethics and standards, and the ability to apply professional data set standards
  • Familiarity with health information systems and industry-standard coding and auditing software
  • Knowledge of regulatory body requirements and coding compliance issues
  • Demonstrated ability to review, analyze, and abstract complex information from medical documentation
  • Exceptional critical thinking, problem-solving, and decision-making skills
  • Excellent written and oral communication skills, fostering effective working relationships and building consensus with individuals at all levels of the organization
  • Ability to work independently, manage time effectively, prioritize tasks, and adapt to changing priorities in a fast-paced environment
  • Commitment to maintaining accuracy and productivity standards
  • Comprehensive knowledge of medical terminology, anatomy, physiology, and disease processes
  • Be authorized to work in the United States
  • Not require sponsorship of any kind for the duration of the assignment
  • Be able to work on a W-2 basis. C2C or 1099 is not permitted for this position
  • Be able to work the following schedule: Monday – Friday, 8:00 AM – 5:00 PM and be able to work weekends when needed

What we offer

  • subsidized health, vision, and dental plans
  • paid sick leave
  • retirement plans with a match
  • free online training through Aquent Gymnasium
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