Coder Specialist – Inpatient

This is a fully remote position, open to applicants in Alabama, +32 more states.

📋 Description

• Conduct comprehensive reviews of complex inpatient documentation with a high level of expertise.

• Assign diagnosis and procedure codes utilizing ICD-10-CM/PCS, CPT, and HCPCS coding systems.

• Ensure accurate code selection in compliance with Official Coding Guidelines and federal as well as insurance regulations.

• Utilize an Electronic Medical Record (EMR) system and/or Computer-Assisted Coding software.

• Follow organizational and departmental policies and procedures diligently.

• Code high-value and extended-length stay cases for all patient categories.

• Investigate coding topics and issues while adhering to query guidelines and coding standards.

• Seek clarification on inaccurate documentation as necessary.

• Act as a subject matter expert for coding leaders and colleagues.

• Suggest modifications to policies and procedures to ensure alignment with governmental regulations.

• Engage in continuing education through webinars, CPT Assistant guidelines, and coding clinics.

• Apply AHIMA's Standards of Ethical Coding along with official coding guidelines.

• Collaborate with Clinical Documentation Improvement and Quality teams to ensure accurate DRG matching.

• Reconcile Medicare cases from a CDI standpoint with working DRGs.

• Communicate with clinicians regarding disease processes to guarantee precise coding.

• Take part in payer audits and meetings as a coding resource.

• Attend clinical team meetings focused on code updates for specialized areas.

• Maintain confidentiality of patient records and report any perceived non-compliant practices.

• Achieve or surpass departmental quality standards of 95% or higher and productivity benchmarks of 100%.

• Meet productivity expectations related to discharged not final billed (DNFB) cases.

• Perform additional assigned responsibilities.

⛳️ Requirements

• Possess a Coding Certification from either AAPC or AHIMA.

• Hold an Associate's Degree in Health Information Management or a related field.

• Generally requires 7 years of inpatient coding experience in an acute care tertiary facility.

• Familiarity with revenue cycle processes, Clinical Documentation Improvement, research, and health information workflows.

• Advanced knowledge of ICD, CPT, and HCPCS coding guidelines.

• Strong understanding of medical terminology, anatomy, and physiology.

• Proficient in computer skills, including Microsoft Office, email, and electronic coding systems or applications.

• Excellent verbal and written communication and interpersonal skills.

• Strong organizational, prioritization, and reading comprehension abilities.

• Outstanding analytical skills and a keen attention to detail.

• Capacity to work independently and exercise sound judgment and decision-making.

• Ability to meet deadlines in a fast-paced setting.

• Initiative to work collaboratively and independently.

• Must be able to sit for extended periods and maintain continuous concentration.

• May require travel to various sites.

🏝️ Benefits

• Comprehensive Total Rewards benefits and wellness programs.

• Competitive salary.

• Generous retirement options.

• Career development initiatives.

• Premium pay opportunities, including shift and on-call compensation.

• Incentive pay for selected roles.

• Potential for annual performance-based salary increases.

• Paid Time Off programs.

• Medical, dental, vision, life insurance, and Short- and Long-Term Disability benefits.

• Flexible Spending Accounts for eligible healthcare and dependent care expenses.

• Adoption assistance.

• Paid parental leave.

• Defined contribution retirement plans with employer matching.

• Financial wellness initiatives.

• Educational Assistance Program.