Advanced Medical Coding Jobs (NOW HIRING)

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

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.

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.

• 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

• 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

• 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

• Communicate with providers, nursing staff, and ancillary departments regarding documentation clarification and coding questions
• Assist with coding education and documentation improvement efforts

• 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

• Maintain strict confidentiality of protected health information in accordance with HIPAA regulations
• Ensure complete and accurate documentation within established timelines

• High school diploma or equivalent required

• Minimum four (4) years of coding experience in a healthcare facility required
• Experience with:
  • Critical Access Hospital (CAH) coding
  • Rural Health Clinic (RHC) coding
    strongly preferred
• Experience with electronic health records, especially Cerner, strongly preferred

• National Coding Certification required through either:
  • AHIMA
  • AAPC

Examples may include:

• CCS
• CCS-P
• CPC
• RHIT
• RHIA
• Current AHA BLS (Heartsaver) certification required

• Strong knowledge of:
  • Medical terminology
  • Anatomy and physiology
  • Disease processes
  • ICD-10, CPT, and HCPCS coding standards
• Strong analytical and critical thinking abilities
• High attention to detail and accuracy
• Ability to manage multiple priorities and deadlines
• Proficiency with:
  • Microsoft Office
  • Data entry and spreadsheets
  • Electronic health records and coding software

• Office, hybrid, and/or remote work environment
• Frequent interruptions and deadline-driven workflow
• Prolonged computer use and repetitive motion activities
• Frequent communication with providers, staff, vendors, and leadership

• Base Compensation Range: $22.45- $34.70 hourly, based on 0-22 years of relevant experience. "Relevant experience" means relevant to the employee's responsibilities set forth in the job description as determined by the HR Manager, CAO, applicable department manager/director and applicable senior leader. 
• Benefits: Benefits include generous paid time off, separate sick leave, health, dental, vision, life and AD&D insurance, long-term disability and option for short-term disability, and retirement plan with employer contribution.  
• Job Type: Full-time  
• Anticipated End Date for Posting: May31, 2026. The deadline may close sooner due to an unanticipated business necessity, such as an incumbent vacating the role earlier than anticipated. You are encouraged to apply well in advance of the deadline.  

Pagosa Springs Medical Center is an Equal Opportunity Employer. All qualified applicants will be considered for employment, and we will not discriminate against any person on the basis of race, color, national origin, disability, age, sex, religion, creed, ancestry, sexual orientation, marital status, or any other characteristic protected by law. Offers of employment are contingent upon successful completion of a pre-employment health and drug screen and background check. 

Pagosa Springs Medical Center (PSMC) is a Critical Access Hospital serving Pagosa Springs and Archuleta County in southwest Colorado. Our HIM team plays a critical role in supporting regulatory compliance, accurate reimbursement, and high-quality patient documentation throughout the organization.

Located in Pagosa Springs, Colorado, our community offers a unique mountain lifestyle with access to outdoor recreation, hiking, fishing, skiing, and the world’s deepest geothermal hot springs. Our culture is guided by our **WISER values—Wholeness, Integrity, Stewardship, Excellence, and Respect—**which shape how we care for patients and support one another.

• Flexible hybrid/remote work opportunities
• Opportunity to support both hospital and rural clinic coding operations
• Collaborative and mission-driven healthcare environment
• Meaningful work supporting healthcare quality and reimbursement integrity
• Strong organizational culture and supportive leadership

Join a team dedicated to accuracy, compliance, and excellence in healthcare documentation and medical coding.