PRN - Health Information Services (Coder)
UHS
Summary
Windsor Laurelwood Center for Behavioral Medicine is seeking a PRN Health Information Services Coder. In this role, you will be responsible for abstracting, reviewing, auditing and the education of all coding and compliance processes, as they relate to CPT, HCPCS and ICD-10 and/or HCC activity. The Coder maintains accurate and complete medical records while ensuring compliance with healthcare regulations, accreditation standards, and confidentiality requirements. This role works closely with physicians, clinical staff, and hospital departments to support effective documentation, coding accuracy, and timely record management.
Job description
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.
Qualifications
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.
Requirements
- AHIMA or AAPC coding certification required
- High School Diploma or GED required
- 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
- RHIT certification preferred
- Medical Records, Health Information Management, or related education preferred
- 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
Benefits
- Paid Time Off
- Medical, Dental & Vision
- Prescription Drug Plan
- 401(k) Matching
- Discounted Stock Plan
- Career Development
- Shift Differentials
Company overview
Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected providers of hospital and healthcare services, operating as a Fortune 300 corporation headquartered in King of Prussia, Pennsylvania. Founded in 1979, UHS has grown into a major healthcare enterprise with approximately 99,000 employees and annual revenues exceeding $14 billion. The company operates through its subsidiaries, managing 29 acute care hospitals, 331 behavioral health facilities, and 60 outpatient and other facilities across 39 U.S. states, Washington D.C., Puerto Rico, and the United Kingdom. UHS provides comprehensive healthcare services including acute care, behavioral health treatment, cancer centers, and ambulatory surgical centers. The company's strategy focuses on building or acquiring high-quality hospitals in rapidly growing markets and investing in advanced medical equipment and skilled personnel to become the leading healthcare provider in each community it serves. UHS is publicly traded on the New York Stock Exchange (NYSE: UHS) and has established a strong reputation for delivering compassionate, high-quality care while maintaining financial stability and operational excellence.