Inpatient Facility Coder - 249773

Medix™; Texas; Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Equipment provided

Flexible work schedule

Job summary

A leading healthcare organization is seeking a fully remote Inpatient Facility Coder. This role involves reviewing medical records to ensure correct coding and DRG assignment while maintaining coding credentials. Candidates must have at least 3 years of experience, including knowledge of ICD-10-CM and CPT coding. The position allows for flexibility across multiple clients and supports coding education within the team. A proficiency test is required for candidates. Equipment is provided, with a standard schedule of Monday to Friday, 8 AM to 5 PM.

Qualifications

• Minimum of 3 years of related Inpatient Facility coding experience.
• Must pass inpatient coding proficiency test.
• Experience coding at Level II trauma charts in medium to large hospitals.
• Must pass inpatient coding proficiency test.
• Credentials CCS or CCS & CIC depending on client.

Responsibilities

• Review medical records for pertinent diagnoses and procedures.
• Select principal diagnoses using UHDDS definition.
• Ensure appropriate DRG assignment.
• Maintain knowledge of coding guidelines and regulations.
• Maintain productivity and quality standards.
• Enter coded charts in real-time during shift.
• Provide coding and abstracting services for inpatient charts.
• Code using established principles to obtain DRG.
• Participate in industry forums and support coding education within the team.
• Clarify documentation with physicians per client guidelines.

Skills

Inpatient Medical and Surgical admissions

ICD-10-CM coding

CPT coding principles

Medical terminology

Anatomy and physiology

Surgical technology

Disease processes

Multi-specialty coding

Coding proficiency test

Education

CCS or CCS & CIC coding credentials

Job description

We are currently hiring a fully remote Inpatient Facility Coder for a great healthcare organization!

• Equipment is provided
• Schedule: M- F 8am-5pm

Day to day responsibilities:

• Reviews medical records to identify pertinent diagnoses and procedures relative to the patient's health care encounter
• Selects the principal diagnosis and principal procedure, along with other diagnoses and procedures using UHDDS definition
• Ensures appropriate DRG assignment
• Abstracts appropriate information from the medical record based on the guidelines provided by the client and after a thorough review of the medical record
• Consistently meet productivity and quality performance requirements
• Responsible for utilizing applications to enter charts coded in real-time throughout the scheduled shift
• As an experienced coder, you will be responsible for providing coding and abstracting services for clients' inpatient charts
• You will use established coding principles and your knowledge and experience to assign diagnostic and procedural codes after a thorough review of the medical record to obtain the appropriate DRG
• As a coding leader, you will participate in industry forums as well as support coding education within the team
• Solicits clarification from the physician regarding ambiguous or conflicting documentation in the medical record using guidelines provided by the client
• Flexibility in assignment over multiple clients to ensure meeting required classification hours
• Maintains current knowledge of the information contained in the Coding Clinic, CPT Assistant, and the Official Guidelines for Coding and Reporting
• Responsible for keeping coding credentials up to date and active

Required Skills:

• Inpatient Medical and Surgical admissions
• Must have a minimum of 3 years of related Inpatient Facility coding experience
• We are looking for candidates that are currently working and coding IP facility charts in their current role
• Experience coding at least Level II trauma charts at medium to large sized hospitals
• Must be able to code multi-specialty IP charts
• Understands medical terminology, anatomy, physiology, surgical technology, pharmacology and disease processes
• Extensive knowledge of ICD-10-CM and CPT coding principles and guidelines, reimbursement systems, federal, state and payor-specific regulations and policies pertaining to documentation, coding and billing
• Must pass inpatient coding proficiency test
• Coding credentials required: CCS or CCS & CIC depending upon the client