Documentation Specialist Coder jobs in United States
cer-icon
Apply on Employer Site
company-logo

Children's Health · 20 hours ago

Documentation Specialist Coder

Children's Health is dedicated to improving the health and well-being of children through advanced treatments and community involvement. The Documentation Specialist Coder is responsible for accurately assigning diagnostic and procedure codes to various patient encounters and serving as a coding resource within the department.

AssociationHealth CareHospitalMedical
check
Comp. & Benefits
check
H1B Sponsor Likelynote

Responsibilities

Maintain and establish department policies and procedures, objectives, quality assurance program, safety, environment and infection control standards
Possess in-depth knowledge of the conventions, rules, and guidelines of multiple classification systems, including ICD-10 diagnosis and procedures and CPT
Possess in-depth knowledge of disease process in multiple medical/surgical specialties
Review patients entire current medical records and utilize encoder software and/or code books to assign appropriate diagnosis codes using the International Classification of Diseases, 10th Edition – Clinical Modification (ICD-10-CM) following coding guidelines and the predetermined department standards
Determine the sequence of diagnoses according to uniform hospital discharge data
Review surgical and designated diagnostic procedure documentation to assign appropriate procedure codes using the International Classification of Diseases, 10th Edition, Procedure Coding System (ICD-10-PCS) and/or Current Procedural Terminology (CPT) using encoder software and/or code books
Determine and record other required data items including, but not limited to attending physician, discharge disposition, number of consultations, referral source and similar data
Query physicians or other providers to obtain documentation clarification/specificity or other information required for accurate code assignment
Assist in care and maintenance of department equipment and supplies; maintain department records, reports and files as required
Participate in educational programs and in-service meetings; attend other meetings as required
Advise the medical staff, business office, QRM and other staff on coding issues
Ensure final bill pending report is within target and that charts are coded within specified timeframes
Retrieve records for closing out each month and make corrections to coded and abstracted information as required

Qualification

ICD-10 codingCPT codingEncoder softwareMedical record reviewCoding certificationsCommunication skillsTeam collaboration

Required

At least 3 years of previous coding experience, or an associate or bachelor's degree in a CAHIIIM accredited program
High school diploma or equivalent
Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Professional Coder (CPC), Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) Upon Hire

Benefits

Employee portion of medical plan premiums are covered after 3 years.
4%-10% employee savings plan match based on tenure
Paid Parental Leave (up to 12 weeks)
Caregiver Leave
Adoption and surrogacy reimbursement

Company

Children's Health

company-logo
Children's Health care specialized children's all health related issue and solve instantly.

H1B Sponsorship

Children's Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (3)
2024 (2)
2023 (2)
2022 (3)
2021 (2)
2020 (5)

Funding

Current Stage
Late Stage
Total Funding
$22.4M
Key Investors
Communities Foundation of TexasHyundai Hope On Wheels
2025-06-26Grant· $3M
2024-08-28Grant· $0.4M
2013-12-02Grant· $19M

Leadership Team

leader-logo
Thomas Burt
SVP, Total Rewards and HR Operations
linkedin
Company data provided by crunchbase