Medical Coder

Pena4 Inc; Indianapolis (IN); Remote; USD 85,000 - 110,000; Full time

Benefits offered by this job

Remote work

Job summary

Pena4 Inc is seeking an Inpatient Medical Coder (CCS certified) to support remote coding of inpatient and outpatient records. The role requires strong IP PCS expertise and a drive for accuracy, with proficiency across ICD-10-CM/PCS, HCPCS/CPT, and relevant coding guidelines.

Key qualifications include 5+ years IP PCS coding, CCS certification, and 3+ years OP coding preferred. This is a full-time remote position with immediate start and a coding assessment as part of the process.

Qualifications

• At least 5 years of IP PCS coding experience.
• CCS certificate is required.
• At least 3 years OP coding experience preferred.
• 100% remote assignment.
• W2 regular employment, full-time.

Responsibilities

• Examine complete medical records to determine principal and secondary diagnoses and procedures.
• Accurately sequence diagnoses and procedures, targeting high accuracy.
• Aim for optimal DRG assignments with computer system support.
• Maintain consistent performance and steady productivity and quality.
• Hold accounts when more information is needed and coordinate with staff.
• Regularly review coding literature and stay current with guidelines.
• Complete assignments as directed by management reliably.
• Pursue continuing education opportunities.
• Collaborate with team to meet department and client goals.
• Perform related duties or special projects as required.

Skills

IP PCS Coding

Medical coding

Tools

Cerner

PowerChart

3M

EPIC

Job description

Inpatient Medical Coder (CCS certified)

Assignment Details:

• 100% REMOTE
• Position Type: W2 Regular Employment
• At least 5 years of IP PCS Coding experience, required
• At least 3 years OP, preferred
• CCS certificate is required.
• Schedule: Weekdays, full-time hours
• Shift: Regular day shift hours
• System Experience: Cerner | Power Chart | 3M | EPIC
• Start Date: Immediately
• To be considered, IP and/or OP assessment test will be required to complete and pass a coding assessment test.

Summary

IP/OP Coding Specialist demonstrates proficiency in coding all types of inpatient and outpatient accounts.

Utilizes International Classification of Disease (ICD-10-CM and PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding.

Responsibilities:

• 1. Examines the complete medical record to accurately determine the principal & secondary diagnoses, procedures, and complications.
• 2. Accurately sequences diagnoses & procedures, maintains 95% accuracy.
• 3. Strives to obtain the optimal DRG assignments on each record coded with assistance of computer system.
• 4. Demonstrates a consistent level of performance; strives to maintain a steady level of productivity and quality.
• 5. Appropriately holds accounts when more information is required for accurate code/DRG assignment. Contact appropriate staff, leadership, or medical staff as needed.
• 6. Regularly reviews coding literature, keeps current on new or revised coding guidelines, shares information with colleagues, determined by colleagues’ feedback and supervisor observation.
• 7. Completes all assignments as directed by management in a conscientious and reliable manner.
• 8. Expresses interest in and pursues continuing education.
• 9. Works as a team member to meet department and client specific goals.
• 10. Performs all related duties or special projects as assigned/required.

This description is not intended to contain an exhaustive list of duties and responsibilities that the coder may be required to complete. There may be other duties as assigned.