Hospital Inpatient Coder Certified – FT – Day – HIM Facility Coding

This is a fully remote position, open to applicants in Alabama, +2 more states.

📋 Description

• Review and evaluate inpatient medical record documentation.

• Accurately assign ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes in compliance with standards.

• Assign and correctly sequence codes in line with Official Coding Guidelines, UHDDS definitions, Coding Clinic guidance, and CMS regulations.

• Determine appropriate MS-DRG/APR-DRG groupings.

• Accurately capture MCC/CC, POA indicators, HACs, PSIs, SOI, and ROM.

• Issue compliant physician queries for any incomplete, ambiguous, or inconsistent documentation.

• Identify gaps in documentation and escalate issues when further clarification is required.

• Resolve coding edits, queries, and discrepancies effectively.

• Engage in internal and external audits as well as corrective action plans.

• Collaborate with Clinical Documentation Improvement (CDI) teams.

• Identify opportunities for documentation improvement and address workflow challenges.

• Meet or surpass accuracy and productivity benchmarks.

• Efficiently code inpatient encounters to facilitate timely billing and minimize DNFB.

• Review accounts that are held due to coding-related issues.

• Maintain coding credentials and stay updated with ICD-10-CM/PCS, DRG, and regulatory changes.

• Participate in ongoing education, team meetings, and training sessions.

• Perform additional duties as assigned.

⛳️ Requirements

• High school diploma or equivalent qualification.

• Certified Coding Specialist (CCS) certification is mandatory.

• Previous experience in hospital coding is essential.

• Exceptional organizational, interpersonal, verbal, and written communication skills.

• Strong attention to detail and diligence.

• Proper etiquette for phone and email communication.

• Excellent time management skills to meet deadlines and productivity goals.

• Intermediate-level computer skills.

• Comprehensive knowledge of medical terminology, anatomy, and physiology.

• Understanding of ICD-10-CM and ICD-10-PCS coding systems.

• Experience with an encoder and EMR is required.

• Ability to work independently in a remote setting.

• Capability to perform under pressure in a fast-paced environment.

• Ability to meet both quality and productivity standards.

• Effectively interact with other team members.

• Must maintain required coding credentials (CCS, RHIT, RHIA).

• Candidates must be located in New Jersey, Pennsylvania, or Alabama.

🏝️ Benefits

• Medical Plan.

• Prescription drug coverage & In-House Employee Pharmacy.

• Dental Plan.

• Vision Plan.

• Flexible Spending Account (FSA), including Healthcare FSA and Dependent Care FSA.

• Retirement Savings and Investment Plan.

• Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance.

• Supplemental Group Term Life & Accidental Death & Dismemberment Insurance.

• Long Term Disability (LTD).

• Short Term Disability (STD).

• Employee Assistance Program.

• Commuter Transit.

• Commuter Parking.

• Supplemental Life Insurance, including Voluntary Life for Spouse, Employee, and Child coverage.

• Voluntary Legal Services.

• Voluntary Accident, Critical Illness and Hospital Indemnity Insurance.

• Voluntary Identity Theft Insurance.

• Voluntary Pet Insurance.

• Paid Time-Off Program.

• Remote work arrangement.