Medical Coder

Pena4 Inc; Sioux Falls (SD); A distancia; USD 60.000 - 85.000; Jornada completa

Descripción de la vacante

Pena4 Inc. seeks an Inpatient Medical Coder (CCS certified) to join our remote team. The role focuses on accurate IP and OP coding with ICD-10-CM/PCS, HCPCS CPT, and related references, ensuring compliant and precise coding across varied cases.

The ideal candidate has at least 5 years of IP PCS experience and holds a CCS certificate, with preference for some OP coding exposure. Start date is immediate; full-time W2 employment with a 100% remote setup.

Formación

• At least 5 years of IP PCS coding experience.
• CCS certificate is required.
• OP coding experience is a plus (3 years preferred).

Responsabilidades

• Examine the complete medical record to determine principal/secondary diagnoses and procedures.
• Sequence diagnoses and procedures accurately with high quality and 95%+ accuracy.
• Aim for optimal DRG assignments with computer-assisted support.
• Maintain steady productivity and coding quality.
• Halt or request information when necessary for accurate code/DRG.
• Keep current on coding guidelines and share knowledge with colleagues.
• Complete assignments as directed by management.
• Pursue continuing education and professional growth.
• Collaborate as a team to meet department and client goals.
• Perform related duties or special projects as assigned.

Conocimientos

IP PCS Coding

CCS Cert

Healthcare coding accuracy

Herramientas

Cerner

PowerChart

3M

EPIC

Descripción del empleo

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.