Author: Susan Greving

Medical Coder

Position:  Medical Coder
Department:  Health Information Management
Hours:   Full-Time  
General Description:

Responsible for abstraction, assignment, and conversion of diagnoses and treatment procedures into codes using ICD-10 and HCPCS. This position will work collaboratively with HIM staff to code hospital inpatient, outpatient, and physician office episodes. Correlate information from appropriate supporting clinical documentation not limited to Pathology, Radiology and/or other Physician Consultations after review by the Attending Physician, wherever appropriate. Requires skill in the sequencing of diagnoses/procedures to optimize reimbursement. Ensures that records are coded in an accurate and timely manner. Coder will work on detailed physician chart abstractions and may be a liaison to documentation improvement to optimize physician coding practices for compliance and revenue purposes for the providers. Coder will conduct coding and charging audits including prospective audit on tests and procedures that may have a National or Local Coverage Determination Policy from CMS before performed on a Medicare patient.

Experience/Education Requirements:
Certification in HIM including RHIT, RHIA, CCS, or CPC. Minimum of 2 years of experience in hospital or physician office coding. 5 years of experience preferred. Knowledge of diagnoses/procedures in accordance with ICD-10-CM coding principles for both acute and skilled nursing facilities. EPIC EMR experience preferred. Ability to work with physicians and other coworkers in a collaborative manner. Knowledge of National and Location Coverage Determinations.
Benefits
We offer competitive salaries and comprehensive benefits including:

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Paid Time Off
  • Short-Term and Long-Term Disability
  • Life Insurance
  • IPERS Retirement Program and much more!
About Us:

Audubon County Memorial Hospital & Clinics is a 17 bed, Critical Access Hospital serving Audubon County and the surrounding areas, with the mission of “Excellence With Quality and Compassion to Those We Serve.” Our services include emergency services, acute care, skilled nursing services, laboratory, radiology, respiratory therapy, sleep studies, physical therapy, occupational therapy, speech therapy, and surgical services. In addition, we offer several specialty services including orthopedic, mental health, pain management, podiatry, oncology, cardiology, dermatology, rheumatology, and urology.

We also operate two rural health clinics, Audubon Family Health Clinic and Exira Medical Clinic. Our clinics offer complete care from newborns to senior adults by providing well child check-ups, age-appropriate preventative care, sports and school physicals, immunizations, and treatment of occasional and ongoing illnesses.

EEO/AAP Statement:

Audubon County Memorial Hospital and Clinics complies with all applicable Federal Civil Rights Laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex (consistent with the scope of sex discrimination described at 45 CFR § 92.101(a)(2)). ACMH does not exclude people or treat them less favorably because of race, color, national origin, age, disability, or sex.

No question included on this application is intended to secure information to be used for such discrimination. Further, ACMH takes affirmative action to ensure that applicants are employed, and employees are treated during employment without regard to any of these characteristics. Discrimination of any type will not be tolerated.

This institution is an equal opportunity provider and employer.

If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at program.intake@usda.gov.

Posted on 2/20/26

Ann Huegerich Honored with the ACMH Employee Recognition Award

ACMH is proud to announce that Ann Huegerich, Outpatient Specialty Clinic Receptionist at Audubon County Memorial Hospital and Clinics was honored with the 2026 first quarter ACMH Employee Recognition Award.

Registered Nurse (PRN)

Position:  Registered Nurse (PRN), Med-Surg/Emergency Department
Department:  Med-Surg/ED
Hours:   PRN (requirement of 24 hours every 6 weeks) 
General Description:

Responsible for utilizing the nursing process to provide individualized nursing care for a specific group of patients. Provides direct and indirect patient care in the medical-surgical and emergency care setting.  Communicates with physicians and co-workers, as appropriate about changes in patients’ clinical condition including results of diagnostic studies and symptomatology.  Responds quickly and accurately to changes in condition or response to treatment. Coordinates care in collaboration with the patient, family, nurses, peers, physicians, and allied health care providers.  Assumes responsibility for the outcome of nursing care delivered. Additionally, performs general nursing duties in all departments with adequate supervision.

Experience/Education Requirements:
Graduation from an accredited program of nursing with current licensure as a Registered Nurse in the State of Iowa is mandatory. Prior emergency department or ICU experience, preferred. Must be familiar with electronic health records and have basic computer skills. Must maintain all certifications as required by job function or by law. Must possess and demonstrate critical thinking skills. Strong written and oral communication skills. Good interpersonal skills. Ability to effectively prioritize and execute tasks in a high-pressure environment. Strong customer service orientation.
Benefits
We offer competitive salaries and comprehensive benefits including:

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Paid Time Off
  • Short-Term and Long-Term Disability
  • Life Insurance
  • IPERS Retirement Program and much more!
About Us:

Audubon County Memorial Hospital & Clinics is a 17 bed, Critical Access Hospital serving Audubon County and the surrounding areas, with the mission of “Excellence With Quality and Compassion to Those We Serve.” Our services include emergency services, acute care, skilled nursing services, laboratory, radiology, respiratory therapy, sleep studies, physical therapy, occupational therapy, speech therapy, and surgical services. In addition, we offer several specialty services including orthopedic, mental health, pain management, podiatry, oncology, cardiology, dermatology, rheumatology, and urology.

We also operate two rural health clinics, Audubon Family Health Clinic and Exira Medical Clinic. Our clinics offer complete care from newborns to senior adults by providing well child check-ups, age-appropriate preventative care, sports and school physicals, immunizations, and treatment of occasional and ongoing illnesses.

EEO/AAP Statement:

Audubon County Memorial Hospital and Clinics complies with all applicable Federal Civil Rights Laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex (consistent with the scope of sex discrimination described at 45 CFR § 92.101(a)(2)). ACMH does not exclude people or treat them less favorably because of race, color, national origin, age, disability, or sex.

No question included on this application is intended to secure information to be used for such discrimination. Further, ACMH takes affirmative action to ensure that applicants are employed, and employees are treated during employment without regard to any of these characteristics. Discrimination of any type will not be tolerated.

This institution is an equal opportunity provider and employer.

If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at program.intake@usda.gov.

Posted on 2/9/2026

ACMH Student Intern Spotlight on Eleanor Greving

This past summer Audubon County Memorial Hospital  and Clinics (ACMH) began a new student internship program.  This program is designed to give college students in the area an opportunity to learn various aspects of working in a rural critical access hospital. The goal of the program was to combine the interests of the students with job positions within ACMH. Depending on the students selected, their skillset, and the needs of the organization, internship assignments are created.

ACMH Hosts “Ignite the Patient Experience™” Engagement

Audubon County Memorial Hospital & Clinics (ACMH) this week hosted Ignite the Patient Experience™, a two-day, on-site engagement designed to achieve a breakthrough improving the patient experience, caregiver engagement, and long-term organizational culture.

Holiday Festivities at ACMH Spread Cheer

Continuing the festivities throughout the hospital, ACMH had employee events leading up to the holidays to keep morale high. Starting December 1st, each department had two and a half weeks to decorate their trees with whatever they chose. All departments including both Audubon and Exira Rural Healthcare Clinics participated in submitting photos of their trees for the Department Decoration Contest. Open to all staff members, voting took place on December 18th from 10 a.m. to 2 p.m., allowing staff to look carefully at each picture of the trees before deciding which one should take first place.

ACMH Employees Support the Community

During the first half of the month, the ACMH Employee’s Club organized a Reverse Advent Calendar, also known as the 12 Days of Christmas Food Drive.