Medical Coder

Pena4 Inc; Lebanon (NH); Remote; USD 65,000 - 90,000; Full time

Job summary

Pena4 Inc is seeking an Inpatient Medical Coder (CCS certified) for a 100% remote, full-time W2 role. The ideal candidate has at least 5 years of IP PCS coding experience and CCS certification is required; 3 years OP experience is preferred.

You will code inpatient and outpatient accounts using ICD-10-CM/PCS, HCPCS CPT, and related references, aiming for accurate DRG assignments with a high level of production. Start date is immediate, and a coding assessment may be required.

Qualifications

• Minimum 5 years IP PCS coding experience.
• CCS certification is required.
• At least 3 years OP coding experience preferred.
• Remote work: 100% remote.
• Start date: Immediate.
• Coding assessment/test required.

Responsibilities

• Examines the complete medical record to determine principal and secondary diagnoses and procedures.
• Ensures correct sequencing of diagnoses and procedures with high accuracy.
• Aims for optimal DRG assignments with system assistance.
• Maintains steady productivity and coding quality.
• Holds accounts when more information is needed; consults staff as needed.
• Keeps current with coding guidelines; shares updates with team.
• Completes assignments as directed by management.
• Pursues continuing education and professional development.
• Works as a team member to achieve department goals.
• Performs related duties or special projects as assigned.

Skills

IP PCS Coding

ICD-10-CM/PCS

HCPCS CPT

Education

CCS Certification

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.