This is a hospital-based HIM coding role for someone who can handle the nasty charts: high-dollar cases, complex encounters, and longer inpatient stays. You’ll code and abstract using ICD-10-CM, CPT, HCPCS, and modifiers, while staying tight on compliance and productivity.
About Firstsource
Firstsource supports healthcare operations for provider organizations. This role sits in Health Information Management (HIM), focused on accurate clinical coding, compliance, and timely reimbursement support.
Schedule
• Remote (U.S.)
• 8:00 AM – 5:00 PM ET
What You’ll Do
⦁ Code and abstract complex inpatient and outpatient encounters using ICD-10-CM, CPT-4, HCPCS, and APC modifiers
⦁ Focus on high-dollar charts and discharges with length of stay over 3 days
⦁ Support HIM Coder I by assisting with complex cases for 1–3 day stays
⦁ Use available tools and references to code accurately and on time
⦁ Apply current AHA Coding Clinic guidance and UHDDS official coding guidelines
⦁ Configure professional E&M service levels based on documentation and enter charges correctly
⦁ Query physicians when documentation is unclear or incomplete for coding
⦁ Coordinate with HIM Techs regarding missing documentation, dictation, and transcribed reports
⦁ Maintain productivity and quality targets, track metrics, and manage assigned work queues
⦁ Flex into other HIM duties as needed by workload
⦁ Represent HIM in court as Custodian of Records (as required)
What You Need
⦁ High school diploma or equivalent
⦁ 5 years coding experience in a healthcare administrative or hospital setting
⦁ Hospital-based coding credentials required
⦁ Required certifications: CCS (Certified Coding Specialist) or CPC-H (Certified Professional Coder – Hospital)
⦁ Strong knowledge of coding compliance standards and ongoing education to maintain certification
⦁ Comfort working independently, meeting deadlines, and communicating clearly with leadership
Benefits
• Not listed in the posting
Backbone moment: this role is not “entry-level coding with training.” If you don’t already have CCS or CPC-H plus real hospital chart experience, don’t waste your time applying. But if you do, $30–$35/hr is in the “serious money” zone compared to the $16/hr claims job.
Happy Hunting,
~Two Chicks…