Clinical Coder

TEEMA Solutions Group; Wisconsin; Remote; USD 10,000 - 60,000; Full time

Job summary

An innovative firm is looking for a Clinical Coder with strong expertise in inpatient facility coding and DRG knowledge. This fully remote position offers a contract-to-hire arrangement, allowing you to showcase your skills in a supportive environment. You'll conduct coding reviews, collaborate with medical professionals, and ensure compliance in coding practices. With competitive pay and the opportunity for career growth, this role is perfect for those looking to make a significant impact in the healthcare coding field. Join a team that values your expertise and offers the flexibility of remote work while paving the way for your professional development.

Benefits

Competitive pay

Work-from-home flexibility

Potential 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 prior authorization requests.
• Collaborate with medical teams to ensure accurate coding and compliance.

Skills

Inpatient facility coding

Diagnosis-Related Grouping (DRG)

Coding compliance

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