Coder III, Medical Coding Specialist, Certified Professional Coder, Medical Billing and Coding Specialist, Inpatient Coding Specialist

This is a fully remote position, open to applicants in Virginia.

📋 Description

• Adhere to regulatory standards for the reporting and sequencing of ICD-10-CM and PCS codes for all patient accounts.

• Create coding inquiries for physicians to clarify any conflicting or unclear patient conditions documented in medical records.

• Assist in supporting quality performance metrics.

• Act as a resource for the Business Office in resolving and reconciling challenging accounts.

• Precisely enter ABS data, which includes surgeon name, procedure date, discharge disposition, admit diagnosis, and POA status.

• Oversee and manage accounts receivable to eliminate pending, outdated, or problematic accounts according to the 30-Day Bill Drop policy.

• Adhere to established bill drop deadlines.

• Report principal and secondary diagnoses in accordance with current AHA Coding Clinic and ICD-10-CM/ICD-10-PCS guidelines.

• Collaborate with the Coding Manager and Denial Management Coordinator to tackle coding denials.

• Generate relevant inquiries utilizing clinical evidence and standardized templates when available.

• Format non-standard inquiries in line with AHA Coding Clinic, CMS, and QIO guidelines.

• Maintain inpatient productivity standards, averaging 2 accounts per hour.

• Achieve the expected DRG/APC accuracy rates of 95% or higher.

• Accurately report procedure codes as per AHA Coding Clinic, CPT Assistant, ICD-10-CM, CPT-4, and payer guidelines.

⛳️ Requirements

• High School Diploma or GED equivalent is required.

• CCS or CPC certification is mandatory.

• A minimum of three years of hospital inpatient coding experience is necessary.

• Must be eligible to work in the United States and comply with Virginia state employment regulations.

• Strong written, oral communication, and interpersonal skills are essential.

• Ability to communicate effectively with hospital practitioners.

• Proficiency in computer applications, grouper software, Medicare edits, and coding and abstracting software and hardware.

• Extensive knowledge of anatomy and physiology, medical terminology, and disease processes.

• Analytical skills to interpret clinical data across various specialties for accurate code assignment.

• Capacity to abstract chart data into a computer module proficiently.

• Ability to work independently.

• Strong attention to detail and critical thinking abilities.

• High ethical standards due to the confidentiality of patient information.

• Preferred: Associate's Degree in Health Information Management.

• Preferred certifications include CCS, RHIT, RHIA, CCA, COC, CIC, CPA-A.

• Previous experience in a hospital, healthcare system, or similar service-oriented environment is preferred.

🏝️ Benefits

• Comprehensive insurance package that includes medical, dental, and vision coverage.

• Retirement savings plans and financial wellness support programs.

• Generous paid time off.

• Flexible scheduling options.

• Career development programs such as clinical ladders, shared governance, and advancement opportunities.

• Personalized onboarding with dedicated preceptors and ongoing educational support.

• Tuition reimbursement available.

• Access to onsite childcare services.

• Free onsite parking provided.

• 24/7 armed security for safety.

• Health Fitness Reimbursement Program offered.

• Onsite credit union and pharmacy services.

• Competitive pay with shift and weekend differentials.

• Employee discounts at the cafeteria, gift shop, pharmacy, and local entertainment venues.