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Certified Surgery/Observation Coder

Sih
Remote Employees-Illinois Posted Nov 4, 2026
Full-time

About this role

Certified Surgery/Observation Coder

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Position Summary

  • Reviews provider documentation and revises and/or assigns ICD-10-CM codes

and CPT/HCPCS codes as appropriate, based on official coding guidelines.

Researches and takes appropriate action on any coding/claim edits.

  • Coding focus is complex outpatient hospital based (Observation, Emergency

Department, Wound, Ambulatory Surgery) or provider based complex procedural

services (surgery, procedures, wound).

Principal Accountabilities

  • Standards of Performance: Respect, Integrity, Compassion, Collaboration,

Stewardship, Accountability, Quality

Education

  • High School Diploma required. Preferred Associate or Bachelor Degree in

  • Health Information or a healthcare related discipline.

  • Licenses and Certification

  • Required:

  • o RHIA, RHIT, or CCS (hospital)

  • o RHIA, RHIT, CCS, CCS-P, CCA, or CPC (provider based)

  • Experience and Skills

  • Hospital & Provider Based:

  • o RHIA, RHIT, CCS – None.

  • Provider Based:

  • o CCS-P, CCA, or CPC – 3 years procedural coding required.

  • Physical Activities

  • Intermittent hand manipulation required

  • Intermittent lifting and carrying of 20 pounds

  • Role Specific Responsibilities

  • o Follows all coding policies, procedures, standard operating procedures

  • o Effectively uses encoding software and reference materials to assign

  • appropriate codes.

  • o Provider driven coding: Reviews and accepts or revises code selection

  • based upon documentation and coding guidelines.

  • o Non – provider driven coding: Reviews provider documentation and

  • assigns appropriate codes based upon coding guidelines

  • o Reviews coding edits and accurately resolves so encounter can be sent to

  • claims.

  • o Sends clear, respectful communications to provider inbasket or queries

  • when additional information is needed before finalizing coding.

  • o Identifies and communicates to Coding Lead/Supervisor/Manager any

  • issues related to documentation, coding or systems that may impact

  • quality, compliance, or productivity

  • o Performs work que duties as assigned by Coding

  • Lead/Supervisor/Manager.

  • o Maintains coding quality and productivity standards

  • o Actively engages and makes meaningful contribution when participating

  • in performance improvement initiatives, department meetings and other

  • meetings as required.

  • o Maintains required CEU’s

Compensation (Commensurate with experience):

  • $24.60 to $38.13

To access our Benefits Guide/Plan Information, please click the link below:

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