Medical Coder

Pena4 Inc; Wichita (KS); Remote; USD 65,000 - 90,000; Full time

Job summary

Pena4 Inc. is seeking an Inpatient Medical Coder (CCS certified) to join a remote team handling IP and OP accounts.

You will code using ICD-10-CM/PCS, HCPCS, and CPT, ensuring accurate coding and high DRG quality, while collaborating with staff to ensure timely submissions.

Candidates must have 5+ years IP PCS experience, CCS certification, and proficiency with Cerner, PowerChart, 3M, and EPIC. Immediate start preferred.

Qualifications

• 5+ years IP PCS coding experience required
• CCS certification is required
• Pass coding assessment test (IP and/or OP) will be required

Responsibilities

• Examine the complete medical record to identify principal and secondary diagnoses, procedures, and complications.
• Accurately sequence diagnoses and procedures, aiming for high accuracy.
• Strive for optimal DRG assignments on each coded record with system assistance.
• Maintain consistent performance with productivity and quality.
• Holds accounts when more information is needed and coordinates with staff as required.
• Stay current on coding guidelines by reviewing literature and sharing updates with colleagues.
• Complete assignments as directed by management in a reliable manner.
• Pursue continuing education opportunities in coding.
• Collaborate with team to meet department and client goals.
• Perform related duties and special projects as assigned

Skills

IP PCS coding experience

Inpatient coding

Outpatient coding

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.