Medical Coder

Pena4 Inc; San Francisco (CA); Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

Remote work

Job summary

Pena4 Inc is seeking an Inpatient Medical Coder (CCS certified) for a 100% remote role. You will code inpatient and outpatient accounts using ICD-10-CM/PCS, HCPCS CPT, and related references with a focus on accuracy and DRG optimization.

The ideal candidate has at least 5 years of IP PCS experience, 3 years of OP coding preferred, and a CCS certificate. Regular day shifts, weekdays, and W2 employment are offered, with a required coding assessment as part of the process.

Qualifications

• 5+ years of IP PCS coding experience.
• 3+ years OP coding experience preferred.
• CCS certificate is required.
• 100% remote work arrangement.
• Weekdays, full-time hours.

Responsibilities

• Examine complete medical records to determine principal and secondary diagnoses and procedures.
• Sequence diagnoses and procedures accurately, aiming for high accuracy.
• Strive for optimal DRG assignments with computer-assisted support.
• Maintain steady productivity and coding quality levels.
• Contact staff or leadership when additional information is needed for accurate coding.
• Review coding literature regularly and stay current with coding guidelines.
• Complete assignments as directed by management with reliability.
• Pursue continuing education and professional development.
• Collaborate with team to meet client goals and department targets.
• Perform related duties or special projects as assigned.

Education

CCS certificate

Tools

Cerner

Power Chart

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.