Senior Medical Coder

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

📋 Description

• Assign and organize ICD diagnostic and procedural codes along with CPT procedural codes for both inpatient and outpatient records.

• Code diagnostic and procedural data utilizing ICD-10-CM/PCS and CPT-4/HCPCS classification systems.

• Employ computerized encoding systems to ensure precise coding.

• Sequence diagnoses and procedures in accordance with ICD-10-CM, Uniform Hospital Data Set, Medicare, Medicaid, and fiscal intermediary regulations.

• Collaborate with medical personnel and healthcare professionals to gather documentation and finalize medical records.

• Select DRGs for inpatient discharges and APCs for outpatient visits.

• Guarantee coding compliance with established guidelines and conventions.

• Abstract medical information and prepare discharge abstracts for inpatient, ambulatory surgery, emergency room, outpatient, and ancillary visits.

• Input and confirm diagnostic and demographic data in computerized medical record databases.

• Ensure the accuracy and integrity of abstract data prior to billing interface and claims submission.

• Regularly code Emergency Department records and input E&M charges.

• Code inpatient, outpatient surgery, and ancillary records as instructed by the Coding Operations Manager.

• Provide education sessions on compliance and documentation to physicians and hospital staff.

• Investigate and address coding, documentation, and compliance inquiries related to Emergency Department infusions, injections, and OBV.

• Capture charges for Observation and Emergency Department services.

• Maintain the established productivity standards and achieve at least a 96% accuracy rate.

• Participate in continuing education activities as required to uphold credentials.

⛳️ Requirements

• One mandatory credential: CCS, CPC, COC, RHIA, or RHIT.

• A minimum of four years of recent coding experience in an acute hospital environment.

• Proven coding proficiency demonstrated through a skills assessment.

• Experience with Emergency Department coding and billing for injections, infusions, and ED procedures.

• Familiarity with assigning E/M levels.

• Capability to operate or utilize fax machines, photocopiers, microfiche readers/printers, and Windows-based computer functions.

• Must adhere to established productivity metrics and maintain an accuracy rate of 96% or higher.

• EPIC experience is required in the primary posting and preferred in the additional qualifications section.

• Successful completion of an AHIMA-approved coding certificate program is preferred.

🏝️ Benefits

• Medical, dental, and vision coverage.

• Critical Illness, Accident, and Hospital insurance.

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

• Life Insurance (including Voluntary Life & AD&D for both employee and dependents).

• Short-term and long-term disability coverage.

• Health Spending Account (HSA).

• Transportation benefits.

• Employee Assistance Program.

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

• Opportunities for continuing education to maintain credentials.