Medical Coder

Pena4 Inc; San Antonio (TX); Remote; USD 70,000 - 110,000; Full time

Job summary

Pena4 Inc is seeking an experienced Inpatient Medical Coder (CCS certified) for a 100% remote, full-time position. The ideal candidate has at least 5 years IP PCS coding experience, CCS certification, and may have OP experience. Start date is immediate, with a coding assessment required to be considered.

W2 regular employment; day shift. Responsibilities include reviewing records to assign diagnoses/procedures, sequencing for optimal DRG, maintaining accuracy, and collaborating with staff to

Qualifications

• Minimum 5 years inpatient PCS coding experience.
• CCS certification is required.
• Proficiency with ICD-10-CM/PCS, CPT and HCPCS.

Responsibilities

• Examine complete medical records to determine principal and secondary diagnoses and procedures.
• Accurately sequence diagnoses and procedures; maintain high accuracy.
• Aim for optimal DRG assignments with computer-assisted support.
• Maintain consistent performance, productivity and quality.
• Request additional information when needed for accurate coding.
• Stay current on coding guidelines and share knowledge with colleagues.
• Complete assignments as directed by management.
• Pursue continuing education opportunities.
• Collaborate with team to meet department and client goals.
• Perform related duties or special projects as assigned.

Skills

IP PCS Coding

ICD-10-CM/PCS CPT HCPCS

Team collaboration

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.