Medical Coder

Pride Health; Remote; USD 10,000 - 60,000; Full time

Job summary

A leading healthcare provider is seeking an experienced coding specialist to work remotely in Maryland. The role requires strong knowledge of ICD-10-CM and ICD-10-PCS coding within a Level 1 Trauma hospital environment. Candidates should possess a high school diploma and have 3+ years of relevant coding experience. The position offers a pay range of $40-$42 per hour and a comprehensive benefits package including medical, dental, and retirement plans.

Benefits

Comprehensive benefits package

Tuition reimbursement up to $4,000 annually

Company-paid life insurance

Qualifications

• 3+ years of ICD-10-CM and/or ICD-10-PCS coding experience in a trauma hospital.
• 4+ years of inpatient hospital medical record coding experience required.
• CCS or RHIA certification required.

Responsibilities

• Coded and abstracted inpatient hospital accounts for compliance.
• Supported coding operations for accurate reimbursement.
• Analyzed documentation for coding opportunities.

Skills

ICD-10-CM

ICD-10-PCS

Clinical Documentation Review

Critical Thinking

Inpatient Medical Coding

Quality Accuracy

Productivity Management

Education

High School Diploma or equivalent

Associate’s or Bachelor’s Degree

Job description

Shift: Day Shift – 5x8 (8:00 AM – 5:00 PM) (Shift time may vary but must be daytime hours)

Work Arrangement: Remote

Timezone Requirement: Must reside in CST or EST

Interview Process: Microsoft Teams Interview

Location Eligibility: Cannot hire candidates residing in Alaska, California, or Hawaii

Pay Range - $40-42/hour

Required Qualifications

• High School Diploma or equivalent (required)
• Formal ICD-10-CM and CPT training (required)
• Minimum 3+ years of ICD-10-CM and/or ICD-10-PCS coding and abstracting experience in a Level 1 Trauma and Rehab hospital
• Minimum 4+ years of inpatient hospital medical record coding experience (required)
• Trauma coding experience must be clearly reflected on the resume
• Physician billing coders are not qualified (must have hospital inpatient medical record coding experience)
• Associate’s or Bachelor’s degree (preferred)

Required Certification (One Required)

• CCS (Certified Coding Specialist)
• RHIA (Registered Health Information Administrator)

Project Description

Supported hospital inpatient coding operations to ensure accurate reimbursement, reporting, and compliance with federal and state regulations. Responsible for coding and abstracting complex inpatient medical records in a Level 1 Trauma and Rehabilitation hospital setting using ICD-10-CM and/or ICD-10-PCS classification systems while maintaining quality and productivity standards.

Key Responsibilities

• Coded and abstracted inpatient hospital accounts to support reimbursement, compliance, research, and statistical reporting
• Served as a clinical coding subject matter expert, using critical thinking to analyze documentation and identify coding opportunities
• Coded complex inpatient cases including trauma, rehabilitation, neurology, critical care, and other high-acuity patient types
• Ensured accurate APR-DRG assignment, SOI/ROM scoring, and POA indicators based on documentation
• Reviewed clinical documentation and collaborated with physicians, clinical staff, and CDI specialists to resolve documentation issues
• Composed accurate and compliant coding queries and worked collaboratively with CDI teams
• Demonstrated understanding of PPCs (Potentially Preventable Complications), MHACs (Maryland Hospital Acquired Conditions), and PQIs (Prevention Quality Indicators) and their impact on coding outcomes
• Provided guidance and coding support to senior coders and other coding staff regarding complex inpatient accounts
• Monitored daily workload to ensure timely completion and support the billing process within established turnaround times
• Maintained required coding performance standards including 90% quality accuracy and 95% productivity
• Communicated with hospital departments regarding billing and registration issues and escalated concerns to management as needed
• Collaborated with the auditing team to review findings, resolve discrepancies, and ensure compliance with coding standards
• Ensured adherence to AHIMA ethical coding standards and compliance guidelines
• Completed coding corrections and additional projects as assigned by management
• Inpatient Medical Coding (Hospital-Based)
• ICD-10-CM / ICD-10-PCS
• APR-DRG, SOI/ROM, POA Assignment
• Clinical Documentation Review & Query Writing
• PPC/MHAC/PQI Knowledge
• Audit Support & Coding Corrections
• Billing Turnaround & Productivity Management
• AHIMA Compliance & Ethical Coding Standards

Prides on a comprehensive benefits package, including medical, dental, and vision insurance, flexible spending accounts, company-paid life and long-term disability insurance, and optional supplemental life insurance for employees, spouses, and children. Additional perks include short-term disability, accident and critical illness coverage, identity theft protection, a 403b retirement plan, and tuition reimbursement of up to $4,000 annually for full-time employees.