Senior Inpatient Coder — DRG & Compliance (Remote)

TEEMA Solutions Group; Town of Florida (NY); Remote; USD 70,000 - 90,000; Full time

Job summary

A healthcare solutions provider is seeking a Senior Clinical Coder to serve as a subject matter expert in medical coding and DRG validation. This fully remote, full-time position requires extensive experience in coding accuracy, regulatory compliance, and reimbursement processes for both inpatient and outpatient services. The ideal candidate will thrive in a fast-paced environment and is skilled in utilizing ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding systems. Strong analytical abilities and effective communication skills are essential for success in this role.

Qualifications

• Minimum of five years of clinical coding experience.
• Three years of inpatient and/or outpatient claims processing experience.
• Ability to obtain and maintain a favorable background investigation.

Responsibilities

• Conduct detailed retrospective claims reviews.
• Support cross-functional teams including medical directors.
• Ensure coding accuracy and regulatory compliance.

Skills

ICD-10-CM coding

ICD-10-PCS coding

CPT coding

HCPCS coding

Analytical skills

Attention to detail

Problem-solving skills

Effective communication

Education

High School Diploma or GED

Certified Coding Specialist (CCS)

Tools

Microsoft Word

Microsoft Excel

Job description

A healthcare solutions provider is seeking a Senior Clinical Coder to serve as a subject matter expert in medical coding and DRG validation. This fully remote, full-time position requires extensive experience in coding accuracy, regulatory compliance, and reimbursement processes for both inpatient and outpatient services. The ideal candidate will thrive in a fast-paced environment and is skilled in utilizing ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding systems. Strong analytical abilities and effective communication skills are essential for success in this role.