REMOTE - Inpatient Medical Coder (Hospital Facility)

Savista; California; Remote; USD 70,000 - 110,000; Full time

Job summary

Savista in California seeks a qualified Coder to review clinical documentation and assign ICD-10 CM and PCS codes for inpatient records, ensuring accurate MS-DRG calculations for billing and regulatory compliance.

You will abstract clinical data, support data integrity with client staff, stay current on coding guidelines, and contribute to Savista's compliance program while upholding professional credentials.

Qualifications

• Two years of recent hands-on coding experience with inpatient records.
• Strong knowledge of ICD-10 CM and PCS coding guidelines.
• Ability to code at 95% accuracy while meeting quality standards.
• Proficient with MS Office and data-entry tasks; interface with clients professionally.

Responsibilities

• Review and analyze clinical records to ensure MS-DRG assignments reflect diagnoses and procedures.
• Abstract clinical data to support accurate discharge disposition and coding.
• Serve as a resource for client staff on data integrity and compliant coding practices.
• Maintain current knowledge of ICD-10 CM, PCS, coding guidelines, and regulatory requirements.
• Support Savista’s Compliance Program through adherence to policies and daily practice.

Skills

Medical terminology

Anatomy & physiology

Pharmacology

Pathophysiology

ICD-10 CM & PCS coding

MS-DRG coding

Coding accuracy

Client communication

Problem solving

Education

AHIMA credentials (RHIA/RHIT/CCS)

AAPC credentials (CPC/CCS-P/COC/CPC-H)

Tools

MS Office

Job description

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

The Coder will review clinical documentation to assign and sequence diagnostic and procedural codes for Facility Inpatient records to meet the needs of hospital data retrieval for billing and reimbursement. Coder validates MS-DRG calculations to accurately capture the diagnoses and procedures documented in the clinical record. Coder performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory compliance requirements.

Select and sequence ICD-10 CM and PCS codes for designated patient types which may include but is not limited to: Acute Facility Inpatient for Non-Teaching Level facilities.

• Review and analyze clinical records to ensure that MS-DRG assignments accurately reflect the diagnoses/procedures documented in the clinical record.
• Abstract clinical data from the record after documentation review to ensure that it is adequate and appropriate to support diagnoses, procedures and discharge disposition is selected.
• May act as a resource with client staff for data integrity, clarification and assistance in understanding and determining appropriate and compliant coding practices including provider queries.
• Maintain current working knowledge of ICD-10 CM and PCS and coding guidelines, government regulations, protocols, and third-party requirements regarding coding and/or billing.
• Support Savista’s Compliance Program by demonstrating adherence to all relevant compliance policies and procedures as evidenced by in-service attendance and daily practice; An active AHIMA (American Health Information Association) credential including but not limited to RHIA, RHIT, CCS or an active AAPC (American Academy of Professional Coders) credentials COC (formerly CPC-H), CCS-P, or CPC or related specialty credential.

Two (2) years of recent and relevant hands-on coding experience with all record types: Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, as well as ICD-10 CM & PCS code sets.

Ability to consistently code at 95% threshold for both accuracy and quality while maintaining client-specific and/or Savista production and/or quality standards.

Proficient computer knowledge including basic MS Office knowledge. Basic MS Office knowledge includes data entry, sort, filter, copy, paste and password protect functions in Excel and/or Word programs. Must display excellent interpersonal and problem-solving skills with all levels of internal and external customers.

SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.