Facility Inpatient Acute Care Medical Coder

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

📋 Description

• Analyze medical records to determine relevant diagnoses and procedures related to patient healthcare encounters.

• Identify primary and additional diagnoses and procedures following UHDDS definitions.

• Guarantee accurate DRG assignment.

• Extract information from medical records in accordance with client guidelines.

• Achieve productivity and quality performance targets.

• Input coded charts into Aquity applications in real-time during scheduled shifts.

• Consult with physicians regarding unclear or contradictory documentation.

• Engage in team meetings and mandatory training sessions.

• Provide training or shadowing for fellow coders as needed.

• Collaborate with multiple clients to fulfill required classification hours.

• Contribute to Coding Roundtables by sharing coding and Health Information Management materials, articles, and current topics.

• Stay updated on Coding Clinic, CPT Assistant, and Official Guidelines for Coding and Reporting.

• Complete assigned educational modules.

• Maintain effective and professional communication while enhancing the company’s positive image.

⛳️ Requirements

• Required coding credentials: CCS.

• A minimum of 3 years of recent related inpatient facility coding experience.

• At least three years of experience coding inpatient facility charts for large acute care, Level 1 trauma centers.

• Proficiency in coding for inpatient medical and surgical admissions.

• Strong coding foundation and familiarity with complex diagnoses and patient stays.

• Comprehensive understanding of medical terminology, anatomy, physiology, surgical technology, pharmacology, and disease processes.

• In-depth knowledge of ICD-10-CM and CPT coding principles and guidelines.

• Awareness of reimbursement systems and federal, state, and payor-specific regulations and policies related to documentation, coding, and billing.

• Must successfully complete an inpatient coding proficiency test.

• Excellent verbal and written communication skills.

• High coding accuracy and attention to detail.

• Strong familiarity with Google Suite.

• Ability to maintain and update coding credentials actively.

🏝️ Benefits

• Healthcare.

• 401k.

• Paid time off.