Health Information Services Coder

Key Responsibilities

• Perform ICD-10-CM inpatient and outpatient coding accurately and efficiently.
• Review, maintain, and audit medical records for completeness, accuracy, and regulatory compliance.
• Assist physicians and clinical staff with medical record documentation requirements.
• Respond to record-related inquiries while maintaining patient confidentiality.
• Coordinate the processing, filing, retrieval, and tracking of patient records.
• Support legal and compliance requests, including subpoenas and record disclosures as directed.
• Identify and communicate documentation deficiencies or potential compliance concerns.
• Assist with medical record analysis, abstraction, chart audits, and record maintenance.
• Monitor record completion trends and help identify opportunities for process improvement.
• Support daily department operations to ensure timely and efficient workflow.
• Maintain knowledge of healthcare regulations, accreditation standards, and medical records best practices.  

Education & Certifications

• AHIMA or AAPC coding certification required.
• RHIT certification preferred.
• Medical Records, Health Information Management, or related education preferred.
• High School Diploma or GED required.

Experience

• Minimum of three years of experience in healthcare, health information management, medical records, or a related administrative setting preferred.
• Experience with ICD-10 coding strongly preferred.

Knowledge, Skills & Abilities

• Strong understanding of medical records management and healthcare documentation standards.
• Knowledge of ICD-10-CM coding principles and healthcare regulations.
• Familiarity with CMS, Joint Commission, and state regulatory requirements preferred.
• Excellent organizational skills and attention to detail.
• Strong verbal and written communication abilities.
• Ability to manage multiple priorities and meet deadlines.
• Proficiency with electronic medical records (EMR) systems and Microsoft Office applications.
• Commitment to maintaining patient privacy and confidentiality.
• Ability to work independently and collaboratively as part of a team.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Avoid and Report Recruitment Scams

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.