Inpatient Physician Coder

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

📋 Description

• Examine medical records from the emergency department.

• Accurately assign ICD-10-CM diagnosis codes, as well as CPT/HCPCS procedure codes and relevant modifiers.

• Determine facility Evaluation and Management (E/M) levels based on client-specific guidelines and facility charging methodologies.

• Assess documentation from nursing, physicians, ancillary departments, and diagnostic services to ensure complete code assignment and effective charge capture.

• Review accounts related to procedural services, injections, and infusions.

• Identify any documentation deficiencies and communicate needs for coding clarification.

• Engage in coding quality reviews, audits, educational initiatives, and activities aimed at process improvement.

• Keep up-to-date with coding updates, changes in reimbursement, and regulatory requirements.

• Collaborate with coding leadership, auditors, and client representatives to address coding-related concerns.

⛳️ Requirements

• Intermediate level of experience is required.

• Ability to accurately assign ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers.

• Understanding of facility Evaluation and Management (E/M) levels and client-specific emergency department leveling guidelines.

• Familiarity with the ACEP tool.

• Apply official coding guidelines, CMS regulations, National Correct Coding Initiative (NCCI) edits, and payer-specific requirements.

• Ensure compliance with Medicare, Medicaid, commercial payer, and organizational coding policies.

• Must achieve a quality standard of 96% or higher.

• Process 100 charts daily in an outpatient clinic environment.

• Availability for shifts from 6 AM to 6 PM, Monday through Friday.

🏝️ Benefits

• Medical, dental, and vision coverage.

• Critical Illness, Accident, and Hospital insurance.

• 401(k) Retirement Plan with options for pre-tax and Roth post-tax contributions.

• Life Insurance (Voluntary Life & AD&D for employees and dependents).

• Short and long-term disability coverage.

• Health Spending Account (HSA).

• Transportation benefits.

• Employee Assistance Program.

• Paid Time Off/Leave (PTO, Vacation, or Sick Leave).