• Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes • Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local Coverage Documents and National Coverage Documents (LCD/NCD) directives, Medically Unlikely Edits (MUEs), and Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers

Overview Medical Coder (Remote) About Us: Matrix Medical Network is the nation’s leading independent provider of comprehensive in-home health assessments, serving Medicare Advantage, Managed Medicaid and Commercial patients across all 50 states. With a network of 3,000 + clinicians, we deliver personalized Whole Person Care that includes diagnostic testing, risk identification, medication management and preventive health education, empowering people to better manage acute and chronic conditions. Guided by our mantra- We see you. We hear you. We’ve got you.- and our core values of Integrity, Accountability, Trust, Respect and Passion, we are committed to creating a culture where both patients and teammates feel valued, supported and heard. Why Work at Matrix? - The opportunity to work with one of the fastest growing companies in healthcare whose vision is to provide unparalleled quality and value to providers and members. - A chance to work with great people on exciting projects. - Our opportunities allow you to leverage your expertise and compassion, making a direct impact to the health and well-being of members. - Competitive Compensation: Be rewarded for your effort and passion while making a difference in the community. Responsibilities About the role: Type: Full Time Hourly Compensation: $25/hr Location: Fully Remote, must be in the United States Hours: Full Time Days Benefits Offered to include: Medical, Dental, Vision, paid time off, paid holidays, 401K with company matching, voluntary life insurance, short term disability, long term disability, employee assistance program, health savings account, flexible spending accounts, additional voluntary benefits available. What to Expect: The primary function of this position is to perform ICD10-CM HCC coding of Matrix Health Assessments. This position will review and analyze medical documentation, and assign ICD10-CM codes which determine reimbursement and enter ICD10-CM codes into computer tracking system. Essential Duties & Responsibilities - Code Assignment & Validation - Review medical records to determine the correct diagnosis and procedure codes based on documentation. - Verify the accuracy, completeness, and specificity of all assigned codes to ensure compliance with payer and regulatory requirements. - Apply coding conventions and guidelines established by CMS, AMA, and AHA. - Data Integrity & Quality Assurance - Maintain coding accuracy and productivity levels as defined by assigned tier metrics. - Conduct data entry using coding databases and EHR systems while maintaining confidentiality and integrity of patient information. - Collaborate with clinical and operational teams to resolve documentation or coding discrepancies. - Compliance & Continuous Improvement - Ensure adherence to HIPAA regulations and organizational policies. - Stay current on updates to ICD-10, CPT, and payer-specific coding requirements. - Participate in coding audits and provide feedback to improve clinical documentation and coding accuracy. - Identify and escalate potential compliance risks to management. - Administrative & Other Duties - Contribute to the development of best practices and process improvement initiatives. - Perform additional duties as assigned to support organizational goals. Qualifications Education - High School Diploma or equivalent required. - Associate’s or Bachelor’s degree in Health Information Management or related field preferred. Experience - Minimum 1–3 years of professional coding experience in a healthcare setting (ambulatory, hospital, or payer environment). - Experience with Electronic Health Records (EHR) and coding software systems. Certifications - Active certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent credential required. - Additional credentials (e.g., CRC, COC, or CPMA) preferred. Competencies & Skills - Strong knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines. - Proficiency in Microsoft Office and EHR platforms. - Excellent data entry and keyboarding accuracy. - Strong analytical, decision-making, and problem-solving skills. - Effective verbal and written communication abilities. - Demonstrated commitment to confidentiality and HIPAA compliance. - Ability to work independently and meet productivity standards in a deadline-driven environment. Work Environment - Primarily remote, with occasional on-site meetings or training as required. - Standard business hours with flexibility based on operational needs. - Requires prolonged periods of computer use. Our Culture: - We have a clear vision of where we are going, and we are guided by core values that embody our organization and our culture. - We emphasizes innovation and growth, and you will be given the opportunities and tools to develop personally and professionally. - We encourage and celebrate collaboration. - We have a deep commitment to positively impact the communities in which we work and to make a difference in the lives of who we serve. Matrix Medical Network is an Equal Employment Opportunity Employer. It is the policy of Matrix to provide equal employment opportunities without regard to race, color, religion, sex, gender identity or expression, pregnancy, age, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law. It is also the policy of Matrix that qualified individuals with disabilities receive equal opportunity in regard to job application procedures, hiring, and all aspects of the employment process. Matrix is committed to the full inclusion of all qualified individuals. Consistent with the Americans with Disabilities Act (ADA) and applicable state and local laws, it is the policy of Matrix to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, pre-employment testing, to otherwise participate in the selection process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact MatrixHR@matrixhealth.net.

Overview Individual responsible for coding all hospital IP records for purposes of reimbursement, research, and compliance with federal regulations. Applies correct ICD-10CM diagnosis and /ICD-10PCS procedure codes and assigns appropriate DRG. Coder must abstract statistical data from records into hospital abstracting system in accordance with hospital policies and procedures. Individual must have knowledge of DRG’s and federal and state coding guidelines. Responsibilities - Reviews patient’s entire current medical record and assigns appropriate ICD-10-CM diagnosis and ICD-10- PCS procedure codes according to accepted coding guidelines and hospital’s policies and procedures. - Assigns accurate DRG to patient’s record utilizing hospital encoding system. - Accurately abstracts statistical data from records using hospital abstracting system in accordance with hospital policies and procedures. - Attends hospital sponsored educational programs and department coding meetings. - Issues queries or send charts for query to clarify diagnoses in the patient’s medical record in compliance with hospital policies and guidelines. - Participates in and practices lean management principles and processes. DCH Standards: - Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation. - Performs compliance requirements as outlined in the Employee Handbook - Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self. - Performs essential job functions in a manner that ensures the safety of patients, visitors and employees. - Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees. - Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees. - Requires use of electronic mail, time and attendance software, learning management software and intranet. - Must adhere to all DCH Health System policies and procedures. - All other duties as assigned. Qualifications - Associates or bachelor’s degree in Health Information Technology from an AHIMA/CAHIIM accredited school or graduate of an AHIMA accredited medical coding program. - A minimum of 3 years of experience in an acute care setting. - Must pass DCH’s coding proficiency assessment for inpatient coders. - Some encoder experience preferred. - RHIA, RHIT, CCS preferred. - Experience working remotely preferred. WORKING CONDITIONS WORK CONTEXT - Requires the ability to work 8 hours quietly at a computer screen and keyboard/mouse. - Must be able to meet deadlines as assigned. - Requires the ability to withstand pressures of constant deadlines, audits, educational demands and changing healthcare environment. - Must have ability to accept criticism and to deal calmly and effectively in high stress situations. - Must be able to communicate both verbally and in writing on a daily basis. - Must be able to participate in groups. - Must be able to adapt to changes in work area as assigned. - Displays a willingness to take on responsibilities and challenges. - Ability to maintain confidentiality. PHYSICAL FACTORS - Hearing and vision must be normal or corrected to within normal range. - Able to perform the duties with or without reasonable accommodation. - This job is considered light work. Must be able to exert up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. - This job involves standing, walking, sitting, stooping, pushing, pulling, and crouching. - Ability to lift up to 20 pounds occasionally and 10 pounds frequently. - Must have good dexterity - Should be able to reach and extend arms in any direction.

Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: No Job Summary: Health information coding is the transformation of verbal descriptions of diseases, injuries, and procedures into numeric or alphanumeric designations. The coding process reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters. Coders are responsible for translating diagnostic and procedural phrases utilized by healthcare providers into coded form procedure codes that can be utilized for submitting claims to payers for reimbursement. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. Job Duties: - Reviews the content of the medical record for hospital and professional inpatient or outpatient records to identify principal diagnosis, secondary diagnoses and procedures performed that explain the reason for service being provided or the admission and patient severity and comply with standard provider coding regulations. - Carefully details review of documents such as laboratory findings, radiology reports, various scan reports, discharge summary, history and physical, consultations, orders, progress notes and other ancillary services treatment records needed to ensure all pertinent diagnoses and procedures are recorded. - Translates all diagnostic and procedural phrases utilized by healthcare providers into coded form usingprocedure codes as required. - Using the Encoder software program, determines the codes for all diagnoses and procedures. - Determines their sequencing to legally maximize reimbursement. - Assigns the appropriate DRG. - Assigns codes based on hospital and professional coding guidelines, Coding Clinic directives, federal regulations, CCI coding initiatives, CPT Assistant or other standard coding guidelinesQueries physicians as needed to clarify documentation within the patient’s record to facilitate complete and accurate coding. - Understands and applies internal policy and procedure guidelines regarding how to phrase physician queries. - Assists the Coding Quality and Professional Manager with training of new coding staff related to hospital and professional coding guidelines, encoder and other software systems needed for the coding process, along with reviewing coding guidelines on an annual basis and makes recommendations for change to improve coding and data management. - Communicates to Coding Quality and Professional Manager any new diagnoses, procedures, technologies, etc. - documented within patient records to ensure that appropriate diagnosis and procedure codes are selected and incorporated into hospital and professional coding guidelines. - Updates and corrects historical file data by completing and submitting claim action reports per the PHC4 quarterly report. - Works in conjunction with other areas within the revenue cycle and external departments and Geisinger to ensure coordinated activities with respect to all revenue cycle needs. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. *Relevant experience may be a combination of related work experience and/or completed specialty training program (1 year of specialty training = 1 year relevant experience). Position Details: This posting reflects an opening for Coder I and we are seeking candidates for that position. Geisinger reserves the right to consider applicants for higher levels of this role to include Coder II based on their skills, qualifications, and experience. We encourage all qualified individuals to apply. LEVEL II requirement: One relevant certification from AHIMA or AAPC is required upon hire. Acceptable certifications include: AHIMA (American Health Information Management Association): Certified Coding Specialist (CCS) Certified Coding Specialist – Physician-based (CCS-P) Registered Health Information Technician (RHIT) Registered Health Information Administrator (RHIA) Certified Coding Associate (CCA) – Candidates with only a CCA are required to obtain a CCS, RHIT, or RHIA within 12 months of hire. All certifications are acceptable from AAPC (American Academy of Professional Coders) except: Scribe, Documentation, Instructor, and International Credentials Certified Professional Biller (CPB) Revenue Cycle Management Specialist (RCMS) Certified Value-Based Administrator (CVBA) Certified Physician Practice Manager (CPPM) Certified Professional Compliance Officer (CPCO) Education: High School Diploma or Equivalent (GED)- (Required), Graduate from Specialty Training Program- (Preferred) Experience: Minimum of 1 year-Related work experience (Required) Certification(s) and License(s): Skills: Communication, Computer Literacy, Medical Records Management, Medical Records Systems, Teamwork, Working Independently OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. - KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. - EXCELLENCE: We treasure colleagues who humbly strive for excellence. - LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. - INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. - SAFETY: We provide a safe environment for our patients and members and the Geisinger family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.