Inpatient Medical Coder III - Remote | WFH

Remote, USA Full-time Posted 2025-07-02
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Join our dynamic healthcare team as a Coding Specialist where you will play a crucial role in ensuring accurate coding of clinical documentation and diagnostic results. Your expertise in applying ICD-10-CM and CPT-4 codes will contribute to efficient billing processes, internal and external reporting, research endeavors, and overall regulatory compliance. Responsibilities... Coding Excellence: Review clinical documentation and diagnostic results, applying precise ICD-10-CM and CPT-4 codes to facilitate billing and support internal and external reporting needs. Process Improvement: Actively contribute to workflow changes and engage in process improvement projects to enhance accuracy and resolve billing-related errors. Productivity and Quality: Maintain a high standard of productivity and quality, striving for an accuracy rate of 95% or better in all coding tasks. Physician Collaboration: Verify the correct capture of all ICD-10 codes and ensure accurate physician abstraction, fostering effective collaboration. Continuous Learning: Stay updated with coding guideline changes, identifying chargeable items for facility level within the department. Ancillary Outpatient Coding: Assign codes for diagnoses and treatment in ancillary outpatient encounters across multiple specialized departments. Ethical Coding Practices: Adhere to ethical coding standards set forth by the American Health Information Management Association (AHIMA) and comply with official coding guidelines. Adaptability: Utilize technical coding principles and APC reimbursement expertise to assign appropriate ICD-10-CM and CPT-4 procedures. Specialized Department Coding: Assign codes for diagnoses, treatment, and procedures across various specialized departments, including Outpatient ancillary, Emergency Department, and Inpatient and Outpatient Surgery. Inpatient Expertise: Determine the correct principal diagnosis, co-morbidities, complications, secondary conditions, and surgical procedures for inpatient coding. MS-DRG and POA Indicators: Assign MS-DRG, Present on Admission (POA) indicators, Hospital Acquired conditions, and accurately abstract discharge dispositions. Physician Collaboration: Follow established policies and procedures to query physicians when documentation is unclear or conflicting. Qualifications Experience: A minimum of five years of advancing experience in inpatient coding within an acute care facility. Certification: Mandatory Certification - CCS Credential. Education: High school diploma or equivalent is a prerequisite. Completion of a certified coding program or graduation from a CAHIM accredited HIT program is mandatory. If you are passionate about contributing to a positive healthcare environment and meet these qualifications, we invite you to apply and join our team! Employment Type: Full-Time

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