Prebill Coder Specialist – Inpatient

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

📋 Description

• Evaluate intricate inpatient documentation with a high level of expertise and proficiency.

• Assign diagnosis and procedure codes using ICD-10-CM/PCS, CPT, and HCPCS standards.

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

• Utilize an EMR system and/or computer-assisted coding software.

• Adhere to organizational and departmental policies and procedures.

• Code high-dollar cases and those with extended lengths of stay across all patient types.

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

• Follow up to clarify any inaccuracies in documentation.

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

• Suggest modifications to policies and procedures to ensure compliance with government regulations.

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

• Apply AHIMA Standards of Ethical Coding and official coding guidelines rigorously.

• Collaborate with Clinical Documentation Improvement and Quality teams to ensure proper DRG alignment.

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

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

• Participate in payer audits and meetings as a coding expert.

• Attend clinical team meetings concerning code updates for specialized areas.

• Uphold patient-record confidentiality and report any observed non-compliant practices.

• Achieve or surpass departmental quality and productivity benchmarks while supporting discharged-not-final-billed processes.

• Perform additional assigned responsibilities.

⛳️ Requirements

• Coding Certification from AAPC or AHIMA.

• Associate's Degree in Health Information Management or a related discipline.

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

• Knowledge of revenue cycle processes, Clinical Documentation Improvement, research, and health information workflows.

• Advanced proficiency in ICD, CPT, and HCPCS coding guidelines.

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

• Exceptional computer skills, including proficiency in Microsoft Office, electronic mail, and electronic coding systems or applications.

• Outstanding oral and written communication and interpersonal abilities.

• Strong organizational, prioritization, and reading comprehension skills.

• Excellent analytical skills with a keen attention to detail.

• Capability to work independently while exercising sound judgment and decision-making.

• Ability to meet deadlines in a dynamic environment.

• Willingness to take initiative and collaborate effectively.

• Must be able to work from an approved registered state: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, or WY.

🏝️ Benefits

• Comprehensive Total Rewards benefits and well-being programs.

• Competitive compensation.

• Premium pay options, including shift and on-call pay.

• Incentive pay available for select positions.

• Opportunities for annual performance-based salary increases.

• Paid Time Off programs.

• Medical, dental, vision, life, and short- and long-term disability benefits.

• Flexible Spending Accounts for qualifying health care and dependent care expenses.

• Adoption assistance.

• Paid parental leave.

• Defined contribution retirement plans with employer matching.

• Additional financial wellness programs.

• Educational Assistance Program.