Clinical Coder

TEEMA Solutions Group; Town of Texas (WI); Remote; USD 60,000 - 80,000; Full time

Job summary

An innovative firm is seeking a Clinical Coder with deep expertise in inpatient facility coding and DRG coding. This fully remote opportunity offers a contract-to-hire arrangement, providing flexibility and the potential for career growth. As a Clinical Coder, you will conduct coding reviews, collaborate with medical professionals to ensure accurate coding, and support claims review processes. With competitive pay and the chance to transition into a full-time role, this position is perfect for those looking to advance their careers in the medical coding field. Join a forward-thinking company that values your expertise and offers a supportive work environment.

Benefits

Competitive pay

Work-from-home flexibility

Opportunity for career growth

Qualifications

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

Responsibilities

• Conduct coding reviews for inpatient facility claims and ensure compliance.
• Collaborate with medical teams to support coding and claims review processes.

Skills

Inpatient facility coding

Diagnosis-Related Grouping (DRG)

Coding compliance

Medical claims review

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