Coder, Hospital PFS, Full-Time

Position Highlights:

• Position: Coder
• Job Type: Full-Time
• Location: Practice PFS

Responsibilities:

Team Leadership & Support

• Mentor a team of Patient Access Specialists, serving as a role model for professionalism, accuracy, and service excellence.
• Provide daily technical support to staff, answering questions, resolving registration or scheduling issues, and reinforcing policy adherence.
• Create and maintain department guidelines, workflows, and best practices documentation in coordination with management.
• Foster a positive and collaborative work environment that promotes open communication, staff engagement, and team accountability.
• Participate in regular staff huddles and one-on-one meetings to provide coaching, feedback, and encouragement.
• Identify training needs and deliver or coordinate ongoing education sessions to ensure continuous skill development.

Surgical Access & Emergency Surgery Coordination

• Serve as the point person for all emergency room and surgery access, ensuring accurate registration, insurance verification, and documentation in real time.
• Process all emergent surgeries and other scheduled surgeries to ensure accurate entry of diagnosis, procedure codes, and insurance information for billing and compliance.
• Collaborate with and guide surgical schedulers to ensure complete and correct information is captured for all elective cases.
• Submit and track all surgery-related prior authorizations in accordance with payer timelines and requirements.

Provider & Staff Education

• Support in the education of surgery schedulers and providers on scheduling guidelines, required documentation, and CPT/ICD-10 coding principles to reduce errors and delays.
• Review documentation to ensure coding accuracy and compliance with internal and external regulations.
• Provide feedback to surgical staff and providers to support documentation improvement initiatives.
• Assist in developing and distributing reference materials, job aids, and best-practice guides.

Financial Collaboration

• Work in close partnership with the hospital’s financial services team to ensure proper capture of patient responsibility and authorization prior to surgery.
• Support insurance verification workflows and escalate high-risk or complex cases to financial counselors as needed.
• Help identify and resolve trends that delay claim submission, reimbursement, or patient billing.

Coding & Documentation Review

• Accurately review physician documentation to apply CPT Procedure and ICD-10 Diagnosis codes for surgical procedures.
• Maintain an accuracy rate of 97% or higher on coding entries.
• Respond to biller inquiries on coding issues and denials; provide correction and education where needed.
• Assist with internal coding reviews or audits as assigned.

Requirements:

• High school diploma or equivalent
• Minimum of two (2) years coding experience with a Medical Coding certificate OR five (5) years coding experience
• Medical coding CPC with AAPC membership, a specialty coding certification (any specialty) preferred

Compensation:

The anticipated compensation range for this position is $27.00 – 31.50 per hour, commensurate with qualifications, education, experience, and other applicable factors. This position is non-exempt under the Fair Labor Standards Act.

Additional compensation may be available in the form of discretionary incentive or other compensation programs. Any such additional compensation is not guaranteed and is determined at the sole discretion of the organization based on applicable program terms, individual and/or organizational performance, and other eligibility requirements.

Benefits:

• Medical, dental, vision insurance
• Life Insurance
• Free Parking
• Paid time off
• Education assistance
• 403(b) with employer matching
• Wellness Program
• Additional benefits based on employment status

Application Deadline

Applications will be accepted through November 30, 2026.

The anticipated application deadline is November 30, 2026, based on the Community’s good-faith expectation of the anticipated recruitment timeline. Community may extend the application deadline if needed and will update the posting accordingly.

Be Extraordinary. Join Us Today!

Community Hospital recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, Community Hospital is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual’s race, creed, color, religion, gender, national origin or ancestry, age, mental or physical disability, sexual orientation, gender identity, transgender status, genetic information or veteran status. Community Hospital does not discriminate against any “qualified applicant with a disability” as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization.