Job Description
Job Title: Inpatient Medical Coder
Location: REMOTE
Comp: $30-35/hr
Benefits: For eligible employees, we offer medical, dental, vision, and 401K.
Position Summary:
We are seeking an experienced and detail-oriented Inpatient Coder to accurately assign ICD-10-CM and PCS codes to inpatient medical records for proper billing, reimbursement, and data reporting. The ideal candidate will have a strong understanding of coding guidelines, medical terminology, anatomy, and compliance requirements, as well as the ability to work independently in a fast-paced healthcare environment.
Responsibilities:
- Review and analyze inpatient medical records to identify appropriate ICD-10-CM diagnosis and PCS procedure codes.
- Ensure coding accuracy and compliance with federal regulations, payer requirements, and official coding guidelines.
- Assign DRGs (Diagnosis-Related Groups) to inpatient cases to optimize reimbursement accuracy and documentation integrity.
- Collaborate with physicians and clinical documentation specialists (CDS) to clarify documentation and resolve discrepancies.
- Maintain up-to-date knowledge of coding changes, regulatory updates, and hospital-specific policies.
- Verify the accuracy and completeness of coded data to support quality assurance and performance improvement initiatives.
- Utilize electronic health records (EHR) systems and encoder software to efficiently code and abstract patient information.
- Meet productivity and accuracy standards set by the organization.
- Ensure compliance with HIPAA regulations and patient confidentiality protocols.
- Participate in continuing education and training to maintain coding certifications and expertise.
Qualifications:
- High school diploma or equivalent required; associate or bachelor’s degree in Health Information Management or related field preferred.
- Certification required: CCA, CCS, CPC, or RHIT/RHIA .
- Minimum of 2 years of inpatient coding experience in a hospital or acute care setting preferred.
- Strong knowledge of ICD-10-CM and PCS coding systems, DRG assignment, and medical terminology.
- Proficient with EHR and coding software (e.g., EPIC, 3M Encoder, TruCode).
- Excellent analytical, organizational, and communication skills.
- Ability to work independently while maintaining accuracy and productivity standards.
Key Skills:
- ICD-10-CM & PCS Coding | DRG Assignment | Clinical Documentation Improvement (CDI) | Compliance & Auditing | EHR Systems | HIPAA | Attention to Detail | Medical Terminology | Reimbursement Optimization | Analytical Thinking
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