Medical Coding Specialist

Department: Health Information Management (HIM)

Status: Full-Time | 1.0 FTE (40 hours/week)

Work Arrangement: In-office - Hybrid and/or Remote May Be Considered

FLSA Status: Non-Exempt

Reports To: Manager: HIM

Location: Pagosa Springs Medical Center – Pagosa Springs, Colorado

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💻 Position Highlight

Utilize your coding expertise in a flexible hybrid/remote role while supporting accurate reimbursement, regulatory compliance, and quality healthcare documentation in a rural hospital environment.

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Position Summary

Pagosa Springs Medical Center (PSMC) is seeking an experienced and detail-oriented Medical Coding Specialist to join our Health Information Management (HIM) team.

This role is responsible for reviewing and accurately coding medical records utilizing ICD-10, CPT-4, and HCPCS coding conventions for both hospital (Critical Access Hospital) and clinic (Rural Health Clinic) services. Responsibilities include reviewing patient documentation, extracting relevant clinical information, assigning accurate diagnosis and procedure codes, supporting appropriate reimbursement, and ensuring compliance with coding regulations and documentation standards.

The ideal candidate has strong analytical skills, advanced knowledge of medical terminology and disease processes, and the ability to maintain high levels of accuracy and productivity in a fast-paced environment.

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Work Arrangement & Schedule

• Full-time position (40 hours/week)


• In-office or hybrid work arrangement preferred


• Fully remote work may be considered based on candidate qualifications, experience, and operational needs


• Flexible scheduling may be considered based on department needs


• Candidates must have the ability to commute to Pagosa Springs, Colorado, when onsite meetings, trainings, audits, or operational needs require in-person presence

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Key Responsibilities

Medical Coding & Documentation Review

• Review medical records and assign accurate diagnosis and procedure codes using:
  
  
  
  • ICD-10
  
  
  • CPT-4
  
  
  • HCPCS coding conventions
  
  
  
  


• Code both:
  
  
  
  • Critical Access Hospital (CAH) records
  
  
  • Rural Health Clinic (RHC) records
  
  
  
  


• Analyze provider documentation, lab reports, procedure notes, and clinical records for coding accuracy and completeness

Reimbursement & Compliance

• Support accurate and optimal reimbursement for hospital and professional charges


• Ensure coding accuracy and compliance with regulatory guidelines and payer requirements


• Sequence diagnoses and procedures appropriately according to coding standards

Provider & Department Collaboration

• Communicate with providers, nursing staff, and ancillary departments regarding documentation clarification and coding questions


• Assist with coding education and documentation improvement efforts

Quality & Productivity

• Maintain or exceed:
  
  
  
  • 95% coding accuracy
  
  
  • 95% productivity standards
  
  
  
  


• Identify trends or patterns in coding data to support quality improvement initiatives


• Assist with audits and compliance reviews as needed

Confidentiality & Documentation

• Maintain strict confidentiality of protected health information in accordance with HIPAA regulations


• Ensure complete and accurate documentation within established timelines