Job Title : Inpatient Medical Coder
Location : REMOTE
Comp : $30-35 / hr
Benefits : For eligible employees, we offer medical, dental, vision, and 401K.
Position Summary :
We are seeking an experienced and detail-oriented Inpatient Coder to accurately assign ICD-10-CM and PCS codes to inpatient medical records for proper billing, reimbursement, and data reporting. The ideal candidate will have a strong understanding of coding guidelines, medical terminology, anatomy, and compliance requirements, as well as the ability to work independently in a fast-paced healthcare environment.
Responsibilities :
- Review and analyze inpatient medical records to identify appropriate ICD-10-CM diagnosis and PCS procedure codes.
- Ensure coding accuracy and compliance with federal regulations, payer requirements, and official coding guidelines.
- Assign DRGs (Diagnosis-Related Groups) to inpatient cases to optimize reimbursement accuracy and documentation integrity.
- Collaborate with physicians and clinical documentation specialists (CDS) to clarify documentation and resolve discrepancies.
- Maintain up-to-date knowledge of coding changes, regulatory updates, and hospital-specific policies.
- Verify the accuracy and completeness of coded data to support quality assurance and performance improvement initiatives.
- Utilize electronic health records (EHR) systems and encoder software to efficiently code and abstract patient information.
- Meet productivity and accuracy standards set by the organization.
- Ensure compliance with HIPAA regulations and patient confidentiality protocols.
- Participate in continuing education and training to maintain coding certifications and expertise.
Qualifications :
High school diploma or equivalent required; associate or bachelor’s degree in Health Information Management or related field preferred.Certification required : CCA, CCS, CPC, or RHIT / RHIA .Minimum of 2 years of inpatient coding experience in a hospital or acute care setting preferred.Strong knowledge of ICD-10-CM and PCS coding systems, DRG assignment, and medical terminology.Proficient with EHR and coding software (e.g., EPIC, 3M Encoder, TruCode).Excellent analytical, organizational, and communication skills.Ability to work independently while maintaining accuracy and productivity standards.Key Skills :
ICD-10-CM & PCS Coding | DRG Assignment | Clinical Documentation Improvement (CDI) | Compliance & Auditing | EHR Systems | HIPAA | Attention to Detail | Medical Terminology | Reimbursement Optimization | Analytical Thinking