Medical Coder

Pena4 Inc; Tulsa (OK); 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 position. The role requires at least 5 years of IP PCS coding experience and 3 years OP coding preferred, with CCS certification required.

You will work with Cerner, PowerChart, 3M and EPIC, perform accurate coding, DRG assignment, and stay current with coding guidelines. Start date is immediate; coding assessment may be required.

Qualifications

• At least 5 years of IP PCS coding experience required.
• At least 3 years OP coding experience preferred.
• CCS certificate is required.
• Full-time weekday schedule with day shifts.
• 100% remote work.

Responsibilities

• Examine the complete medical record to determine principal and secondary diagnoses, procedures and complications.
• Accurately sequence diagnoses and procedures, maintain 95% accuracy.
• Strive to obtain optimal DRG assignments on each record coded with computer system assistance.
• Maintain productivity and quality at a steady level.
• Hold accounts when more information is required and contact staff or leadership as needed.
• Stay current on coding guidelines and share information with colleagues.
• Complete all assignments as directed by management.
• Pursue continuing education.
• Work as a team member to meet department and client goals.
• Perform related duties or special projects as assigned.

Skills

IP PCS coding

DRG optimization

Medical record review

Team collaboration

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.