Medical Coder / Coding

Pena4 Inc; New York (NY); Remote; USD 70,000 - 95,000; Full time

Job summary

Pena4 Inc. is seeking an experienced Inpatient Medical Coder (CCS) for a fully remote role. The candidate will perform inpatient and outpatient coding using ICD-10-CM/PCS and HCPCS/CPT, ensuring accurate classifications across accounts.

Requires 5+ years IP PCS coding, CCS certification, and familiarity with Cerner, PowerChart, 3M, and EPIC systems. Start date is immediate; position is W2 full-time with remote work option.

Qualifications

• Minimum 5 years of inpatient PCS coding experience.
• CCS certification required.
• Immediate start date or prompt availability.

Responsibilities

• Examine medical records to determine principal and secondary diagnoses and procedures.
• Accurately sequence diagnoses and procedures with high accuracy.
• Strive for optimal DRG assignments with system assistance.
• Maintain steady productivity and coding quality.
• Request additional information when needed for accurate code/DRG.
• Keep current with coding guidelines and share updates with staff.

Skills

IP PCS Coding

Education

CCS certificate

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.