Job Description & Qualifications
A Brief Overview
Responsible for accurately and timely coding of moderately complex encounters following established coding, CMS regulations and hospital guidelines. Accurately codes diagnostic and procedural information following official coding guidelines, facility specific guidelines and federal regulations.
What You Will Do
- Reviews moderately complex medical records to identify sequence, code diagnoses and procedures according to established coding, CMS and hospital guidelines.
- Responsible for accurately coding hospital same day surgery, observations, ancillary, ED encounters and/or professional services.
- Ensures optimal CPT, ASC, APC, APG assignment as applicable.
- Understanding and ability to resolve coding specific edits such as CCI, LCD, NCD, and MUE.
- Supports OP Clinical Documentation Improvement program.
- Maintains productivity and quality rate according to established standards.
- Works within UH Billing time frames.
- Maintains coding knowledge and skills via written coding resources, clinical information and educational webinars. Maintains knowledge of guidelines and regulations affecting the UHHS Coding Department. Maintains up to date credentials.
- Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).
Additional Responsibilities
- Participates in educational and informational activities as required.
- Performs other duties as assigned.
- Complies with all policies and standards.
- For specific duties and responsibilities, refer to documentation provided by the department during orientation.
- Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.
Education
- High School Equivalent / GED (Required)
- Associate’s Degree preferably in HIM (Preferred) or Bachelor’s Degree (Preferred)
Work Experience
- 2+ years ICD-10 CM, PCS and/or CPT coding experience (Required)
Knowledge, Skills, & Abilities
- Medical terminology, anatomy/physiology, pathophysiology and pharmacology knowledge (Required proficiency)
- Detail-oriented and organized, with good analytic and problem solving ability. (Required proficiency)
- Self-motivated with ability to function independently and as a team player in a fast-paced environment. (Required proficiency)
- Strong written and verbal communication skills. (Required proficiency)
- Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e. printers, copy machine, FAX machine, etc.). Must be able to proficiently work within with multiple systems. (Required proficiency)
Licenses and Certifications
- Certified Professional Coder (CPC) (Required Upon Hire) or
- Certified Coding Specialist (CCS) (Required Upon Hire) or
- Registered Health Information Technologist (RHIT) (Required Upon Hire) or
- Registered Health Information Administration (RHIA) (Required Upon Hire) or
- Certified Coding Associate (CCA) (Required Upon Hire) or
- Radiology Coding Certification (RCC) (Required Upon Hire) or
- Radiation Oncology Certified Coder (ROCC) (Required Upon Hire) or
- Certified Hematology and Oncology Coder (CHONC) (Required Upon Hire)
Physical Demands
- Standing Occasionally
- Walking Occasionally
- Sitting Constantly
- Lifting Rarely up to 20 lbs
- Carrying Rarely up to 20 lbs
- Pushing Rarely up to 20 lbs
- Pulling Rarely up to 20 lbs
- Climbing Rarely up to 20 lbs
- Balancing Rarely
- Stooping Rarely
- Kneeling Rarely
- Crouching Rarely
- Crawling Rarely
- Reaching Rarely
- Handling Occasionally
- Grasping Occasionally
- Feeling Rarely
- Talking Constantly
- Hearing Constantly
- Repetitive Motions Frequently
- Eye/Hand/Foot Coordination Frequently
Travel Requirements
- 10%
Additional Salary Detail:
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of posting of this job advertisement and may be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, union negotiated contracts, budget and internal equity). This figure does not include, unless otherwise stated incentive pay or shift differential pay or the value of University Hospitals’ comprehensive benefits package, which includes healthcare, dental, vision, retirement plan options, and additional offerings. Click here to view complete wellness and benefits details.
For over 150 years, University Hospitals has been dedicated to our mission To Heal. To Teach. To Discover. Starting as a small Cleveland hospital in 1866, UH has grown into 18 hospitals and 40 health centers, serving 1 million people annually.
UH delivers exceptional care, advances medical innovation, and trains future healthcare leaders. Now, you have the opportunity to add your talents to this legacy of care. At UH, you’ll join a collaborative team in an inspiring environment where your skills and ideas will be valued. Together, we can continue to shape the future of healthcare and deliver on the promise of our mission for generations to come.
Equal Opportunity Employer – Veterans and individuals with disabilities.
University Hospitals is a national leader in healthcare that takes pride in calling Northeast Ohio home. With more than 150 locations throughout Cleveland and the surrounding metropolitan areas, UH provides unique opportunities to deliver world-class care in the communities where our employees live, work, and play.
We want you to make a career with us and we are here to support you – both in and out of work. Our comprehensive benefits program offers choice and flexibility to meet you where you are in your life.
- Medical Plans
- Dental Plans
- Vision Plan
- Paid Short and Long Term Disability
- Life and Account Insurance
- Additional Voluntary Benefits
- Wellness Programs and Plans
- Financial Health Resources
- Career Development Resources
- And More!
*Benefits may vary based on FTE Status and Position Type.
View complete wellness and benefits details on our Why Choose Us page.

We want you to make a career with us and we are here to support you – both in and out of work. Our comprehensive benefits program offers choice and flexibility to meet you where you are in your life.
- Medical Plans
- Dental Plans
- Vision Plan
- Paid Short and Long Term Disability
- Life and Account Insurance
- Additional Voluntary Benefits
- Wellness Programs and Plans
- Financial Health Resources
- Career Development Resources
- And More!
*Benefits may vary based on FTE Status and Position Type.


Working at University Hospitals
Careers at UH offers opportunities to provide care locally in the Cleveland area with the power to impact healthcare nationwide. As leaders in our industry, our staff share a commitment to be the difference in the lives of our patients and our communities from Northeast Ohio and beyond. Look at this video to discover how we’re building an organization for the future today.
Nightshift Module
Night shift provides a unique and rewarding opportunity for caregivers who thrive in a close-knit, supportive environment. With fewer distractions and a calmer atmosphere, you’ll have the chance to foster meaningful relationships with both colleagues and patients. The quieter pace allows for more in-depth patient connections, greater autonomy, and the opportunity to refine your skills. Whether it’s the flexibility to fit your lifestyle, the teamwork and problem-solving that come with a close-knit team, or the financial benefits of shift differential pay, night shift offers a space where you can grow both personally and professionally. If you excel in a late-night environment and appreciate the independence and collaboration it offers, our night shift team is the perfect fit for you!
Hear from our team about why they enjoy working the night shift and how it has shaped their careers.
Sara H.
Multi Modality
I like nightshift because the smaller staff helps me build connections and friendships with the staff around me. Helping us to better communicate without any issues, including doctors. I can work independently, keeping my thinking skills sharp. Even when it is quiet, it is never boring.










