Inpatient Hospital Coder (Remote position)

AAPC; United States; Remote; USD 59,000 - 89,000; Full time

Job summary

Albany Medical Center is seeking an Inpatient Hospital Coder for a remote per diem role in the Health Information Management department. Use ICD-10-CM/PCS, UHDDS, and related guidelines to assign accurate codes that support compliant reimbursement.

Responsibilities include resolving documentation gaps with clinicians, ensuring data quality for reporting, and participating in daily huddles and department activities. Requires coding certification and hospital coding experience.

Qualifications

• Knowledge of ICD-10-CM and ICD-10-PCS or CPT-4 coding classifications.
• Coding certification through AHIMA or AAPC is required and must be in good standing.
• Excellent computer skills and ability to navigate multiple systems.

Responsibilities

• Use a computerized encoding system to facilitate accurate coding and sequence diagnoses and procedures.
• Support external reporting requirements with accurate coding data.
• Query providers for clarification when documentation is incomplete or ambiguous.
• Adhere to coding policies, maintain ethical practices, and participate in meetings and LEAN activities.

Skills

ICD-10-CM knowledge

ICD-10-PCS knowledge

CPT-4 knowledge

Proficient in medical coding systems

Excellent computer skills

Education

AHIMA or AAPC certification

Tools

3M 360

EPIC

Job description

Department/Unit: Health Information Management

Work Shift: Per Diem (United States of America)

Salary Range: $59,066.00 - $88,599.00

The Inpatient Hospital Coder applies skills and knowledge of currently mandated inpatient coding and classification systems, and official resources to select the appropriate diagnosis and procedural (PCS) codes and other codes representing healthcare services. This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. This is a remote position.

Essential Duties and Responsibilities

• Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal intermediary guidelines.


• Support the reporting of healthcare data elements (e.g. diagnoses and procedure codes, hospital acquired conditions, patient safety indicators) required for external reporting purposes (e.g. reimbursement, value based purchasing initiatives and other administrative uses, population health, quality and patient safety measurement, and research) completely and accurately, in accordance with regulatory and documentation standards and requirements, as well as all applicable official coding conventions, rules, and guidelines.


• Query the provider (physician or other qualified healthcare practitioner), whether verbal or written, for clarification and/or additional documentation when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element dependent on health record documentation (e.g. present on admission indicators). Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements.


• Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and foster trust in professional activities.


• Advances coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements.


• Utilizes official coding rules and guidelines apply the most accurate coding to represent that patient services on the hospital claim.


• Comply with comprehensive internal coding policies and procedures that are consistent with requirements.


• Attends coding meetings and roundtable sessions.


• Participates in daily huddles and LEAN problem-solving activities.


• Focused with no distractions while working and participating in meetings.


• Ensures camera on while attending Teams calls.


• Assists with organizing the shared drive for the medical coding department.


• Other duties as assigned by manager.

Qualifications

• High School Diploma/G.E.D. - required


• Prior experience in hospital medical coding - preferred


• Prior experience with 3M 360 and EPIC system - preferred


• Applicants must receive a score of 80% or above on assessment. Will consider new coders with a higher assessment score. (High proficiency)


• Excellent computer skills, navigating multiple systems at once, troubleshooting. (High proficiency)


• Must be able to work independently as position is fully remote. Maintain a remote coding work area that protects confidential health information. (High proficiency)


• Excellent written and verbal communication skills. (High proficiency)


• Knowledge of ICD-10-CM, and ICD-10-PCS or CPT-4 Coding classification system, depending on the position being hired for. (High proficiency)


• Detail-oriented and efficient while maintaining productivity.


• Coding certification / credential through AHIMA or AAPC and be in good standing. - required

Equivalent combination of relevant education and experience may be substituted as appropriate.

Physical Demands

• Standing - Occasionally


• Walking - Occasionally


• Sitting - Constantly


• Lifting - Rarely


• Carrying - Rarely


• Pushing - Rarely


• Pulling - Rarely


• Climbing - Rarely


• Balancing - Rarely


• Stooping - Rarely


• Kneeling - Rarely


• Crouching - Rarely


• Crawling - Rarely


• Reaching - Rarely


• Handling - Occasionally


• Grasping - Occasionally


• Feeling - Rarely


• Talking - Frequently


• Hearing - Frequently


• Repetitive Motions - Frequently


• Eye/Hand/Foot Coordination - Frequently

Working Conditions

• Extreme cold - Rarely


• Extreme heat - Rarely


• Humidity - Rarely


• Wet - Rarely


• Noise - Occasionally


• Hazards - Rarely


• Temperature Change - Rarely


• Atmospheric Conditions - Rarely


• Vibration - Rarely

Thank you for your interest in Albany Medical Center!

Albany Medical Center is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a \"need to know\" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Thank you for your interest in Albany Med Health System!

Albany Med Health System is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Med Health System, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a \"need to know\" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Health System policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.