New

HIM Coder

Spaulding Hospital - Boston and Cambridge
United States, Massachusetts, Boston
300 1st Avenue (Show on map)
Nov 19, 2025
Summary: Responsible for accurately assigning diagnostic and procedural codes to medical records, ensuring compliance with coding guidelines and regulatory requirements. Does this position require Patient Care? No Essential Functions: Review medical records and extract relevant clinical information to assign appropriate diagnostic and procedural codes using coding systems such as ICD-10-CM, CPT, and HCPCS. -Ensure accurate and detailed coding of medical data, adhering to established coding guidelines and industry standards. -Follow coding and documentation guidelines set by regulatory bodies, including CMS, CPT, and other relevant coding authorities, to ensure compliance with healthcare regulations. -Maintain the integrity and security of patient information and healthcare data throughout the coding process. -Collaborate with clinical documentation specialists and healthcare providers to address documentation queries and obtain additional information for accurate coding. Education High School Diploma required and completion of coding certificate program or Health Information Technology Program Can this role accept experience in lieu of a degree? No Licenses and Credentials CCS, CCA preferred Experience Experience in medical coding within a healthcare facility, such as hospitals, clinics, or physician offices 3+ years preferred Knowledge, Skills and Abilities - In-depth knowledge of medical terminology, anatomy, physiology, and disease processes to accurately assign codes. - Familiarity with coding systems, including ICD-10-CM, CPT, and HCPCS, and their application in healthcare settings. - Understanding of regulatory guidelines and compliance requirements related to medical coding and documentation. - Analytical and critical thinking skills to assess and validate coding accuracy. - Excellent written and verbal communication skills to effectively communicate coding findings and recommendations. - Proficiency in using coding software applications and electronic health record (EHR) systems. Physical Requirements Standing Occasionally (3-33%) Walking Occasionally (3-33%) Sitting Constantly (67-100%) Lifting Occasionally (3-33%) 20lbs - 35lbs Carrying Occasionally (3-33%) 20lbs - 35lbs Pushing Rarely (Less than 2%) Pulling Rarely (Less than 2%) Climbing Rarely (Less than 2%) Balancing Occasionally (3-33%) Stooping Occasionally (3-33%) Kneeling Rarely (Less than 2%) Crouching Rarely (Less than 2%) Crawling Rarely (Less than 2%) Reaching Occasionally (3-33%) Gross Manipulation (Handling) Constantly (67-100%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%) The Spaulding Rehabilitation Hospital Corporation is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.