HIM Technician (Non-Cert)

The Staff Pad has partnered with a hospital in Las Vegas, New Mexico to recruit an experienced Health Information Management (HIM) Coder to join their on-site team. This individual will be responsible for reviewing, analyzing, and assigning diagnostic and procedural codes for inpatient, outpatient, and/or emergency department medical records using ICD-10-CM, CPT, and HCPCS coding systems in accordance with official coding guidelines and facility standards.

Key Responsibilities:

• Review and abstract clinical documentation from patient records to assign accurate diagnosis and procedure codes
  

• Ensure compliance with federal regulations and hospital policies related to coding and billing
  

• Maintain productivity and quality standards established by the HIM department
  

• Query physicians when appropriate to ensure accurate and complete documentation
  

• Assist in resolving coding-related billing issues or discrepancies
  

• Stay current with coding guidelines, payer regulations, and industry best practices
  

• Participate in internal audits and ongoing education for coding accuracy and compliance
  

• Communicate effectively with physicians, clinical staff, and HIM leadership
  

Qualifications:

• High school diploma or equivalent required
  

• Associate degree in Health Information Technology or related field preferred
  

• Minimum of 2 years of experience in a healthcare coding role
  

• Strong understanding of ICD-10-CM, CPT, and HCPCS coding systems
  

• Knowledge of CMS guidelines and medical terminology
  

• Familiarity with electronic health record (EHR) systems
  

• Strong attention to detail and organizational skills