Clinical Coder

TEEMA Solutions Group; Oregon (IL); Remote; USD 60,000 - 80,000; Full time

Job summary

An innovative firm is seeking a Clinical Coder with strong inpatient facility coding expertise and a deep understanding of DRG coding. This remote opportunity offers a contract-to-hire arrangement, typically lasting 6-9 months, with the potential for conversion to a permanent role. You will conduct coding reviews, collaborate with medical professionals, and support staff on coding and claims processes. With competitive pay and work-from-home flexibility, this position provides a unique chance to transition into a full-time role with career growth opportunities. If you have a passion for coding and compliance, this role is perfect for you.

Benefits

Competitive Pay

Work-from-home Flexibility

Career Growth Opportunities

Qualifications

• Proven inpatient facility coding expertise is required.
• Solid understanding of DRG-related payments and hospital billing practices.

Responsibilities

• Conduct coding reviews for prior authorization requests and inpatient facility claims.
• Collaborate with medical teams to ensure accurate coding and compliance.

Skills

Inpatient Facility Coding

Diagnosis-Related Grouping (DRG)

Coding Compliance

Collaboration with Medical Teams

Education

RHIT Certification

RHIA Certification

CPC Certification

Job description

TEEMA is seeking a Clinical Coder with strong expertise in inpatient facility coding and a deep understanding of Diagnosis-Related Grouping (DRG) coding. This remote opportunity offers a contract-to-hire arrangement, typically lasting 6-9 months on contract before potential conversion to a permanent role.

Compensation: $33.50 - $37.22 hourly (Texas rates vary by county); $35.00 - $39.44 hourly for Senior roles

Work Type: Fully remote (approved states listed below)

Start Date: December 2024

Responsibilities

Conduct coding reviews for:

Prior authorization requests involving unlisted codes/services

Retrospective medical claims for coding and pricing determinations

Inpatient facility claims, including diagnosis, procedural coding, and DRG assignment

Collaborate with medical directors, providers, peer reviewers, and other teams to ensure accurate coding and compliance.

Support non-clinical and clinical staff on coding, pricing, and claims review processes.

Develop determination letters for coding reviews as required.

Qualifications

Experience: Proven inpatient facility coding expertise is required. Outpatient or general coding experience is not sufficient.

DRG Knowledge: Must have a solid understanding of DRG-related payments and hospital billing practices.

Certifications:

Preferred: RHIT, RHIA certifications are required for senior roles

Acceptable: CPC certification only if paired with documented DRG and inpatient coding experience

Certifications must be listed on the resume.

Key Notes

Hospital coding significantly differs from provider coding—candidates must demonstrate clear inpatient coding experience on their resumes.

Candidates with audit roles and inpatient DRG coding are encouraged to apply.

Remote Work Locations

We accept candidates from the following states:
AK, AR, AZ, CO, DC, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NC, ND, NE, NM, NV, OK, OR, SC, SD, TN, TX, UT, VA, WA, WI, WY

Why Join Us?

Competitive pay

Work-from-home flexibility

Opportunity to transition into a full-time role with potential career growth