Inpatient Coder III

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

📋 Description

• Examine medical records to ensure precise details of inpatient diagnoses and procedures.

• Apply ICD-10-CM and PCS codes in accordance with established coding guidelines.

• Coordinate with providers and relevant staff to address missing diagnoses, procedures, and documentation.

• Generate deficiency reports in Epic for any absent documentation.

• Analyze denial reports with management and engage in both internal and external audits.

• Notify the supervisor regarding any unusual or concerning accounts, issues, and potential areas for improvement.

• Extract clinical and demographic information from patient records.

• Review charts prior to coding and inquire with providers or departments about documentation gaps.

• Accurately assign ICD-10-CM and ICD-10-PCS codes.

• Evaluate reports, audit lists, coding/billing modifications, and denial reports.

• Detect coding discrepancies, summarize observations, and suggest corrective measures.

• Collaborate with physicians to rectify coding and documentation inconsistencies.

• Submit accounts with precision and within required deadlines.

• Code and abstract medical records within 72 hours following patient discharge.

• Follow up on assigned discharges for final coding purposes.

• Address coding inquiries from interdepartmental staff.

• Document outcomes and recommendations from special projects.

• Work together with Compliance, Educators, Auditors, peers, and colleagues.

• Maintain ongoing communication with providers and office personnel.

• Engage in coding audits and collaborate closely with the DRG Validator.

• Attend meetings, educational sessions, and projects as needed.

• Foster exceptional customer service and communicate opportunities for process improvement.

⛳️ Requirements

• High school diploma or equivalent qualification.

• Valid CCS, CIC, RHIA, or RHIT certification/credential.

• A minimum of three (3) years of experience in ICD-10-CM and PCS coding.

• Experience with EMR systems.

• Capacity to conduct training from 6 AM to 6 PM EST, Monday through Friday.

• Weekend availability is strongly preferred.

• Proficiency in reading and writing in English.

• Familiarity with Excel and basic computer competencies.

• Solid understanding of ICD-10-CM, ICD-10-PCS, CPT coding systems, DRG, APG, governmental and commercial payer policies, Coding Clinic, disease processes, medical terminology, anatomy, and physiology.

• Outstanding organizational, interpersonal, and communication skills.

• Ability to thrive under pressure, meet deadlines, juggle multiple tasks, and communicate effectively with colleagues and medical staff, whether virtually or via phone.

🏝️ Benefits

• Up to 30 hours of work per week.

• Flexibility in start and end times.

• Complete remote work opportunity.

• Comprehensive Total Rewards package that supports health, financial security, and career development.

• Fair and competitive salary.

• Opportunities for career advancement.