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Medical Coder

Medical Coder

Pride HealthMilwaukee, WI, United States
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This is a remote, advanced coding role requiring independent decision-making and operating under general supervision. The Inpatient Coder II is responsible for accurate assignment of ICD diagnosis and procedure codes and MS-DRGs for inpatient hospital services across a wide range of specialties including :

  • Neurology
  • Oncology
  • Urology
  • Transplant
  • OB / Newborn
  • Orthopedics
  • Cardiology
  • Critical Care
  • Complex trauma and acutely ill patients

Coders collaborate with clinical documentation improvement specialists and communicate with providers primarily via electronic queries to ensure complete and accurate documentation.

Key Responsibilities

  • Assign DRGs, diagnosis, and procedure codes accurately
  • Abstract required information per facility guidelines
  • Independently write and manage physician queries
  • Assign Present on Admission (POA) indicators
  • Maintain productivity and accuracy standards (≥95%)
  • Code mortality and rehab cases per policy
  • Handle Combine / Uncombine processes
  • Submit rebuttals for insurance denials when requested
  • Participate in special projects and other duties as assigned

    • Required Skills & Experience

  • Minimum Experience :
  • 1 year recent inpatient coding at an academic medical center

    • OR

  • 3 years recent hospital inpatient coding experience
  • Preferred Experience :
  • 3+ years inpatient coding at an academic facility
  • Technical Skills :
  • Proficiency in coding complex inpatient cases
  • Effective communication and adaptability to change
  • Ability to work independently and meet productivity benchmarks

    • Education & Certifications

  • Required Education :
  • Completion of a Coding Certificate Program or Associate Degree in HIM (or equivalent)
  • Preferred Education :
  • Bachelor’s Degree in HIM (or equivalent)
  • Required Certifications :
  • Certified RHIA, RHIT, or CCS
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    Medical Coder • Milwaukee, WI, United States

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