Senior Inpatient Coding & CDI Analyst (Remote)

MissionHires; White House (TN); On-site; USD 70,000 - 90,000; Full time

Job summary

A healthcare solutions provider seeks a Clinical Coding Analyst to ensure accurate documentation and compliance for healthcare clients in White House, TN. You will perform chart reviews, prepare reimbursement recommendations, and analyze quality metrics. Applicants should have a CCS or CDIP certification, with at least 7 years of hospital coding experience and proficiency in EHR systems. This role also requires effective communication skills and the ability to work independently, with a flexible schedule offered.

Qualifications

• 7+ years of acute inpatient hospital coding, auditing, and/or CDI experience.
• Extensive knowledge of ICD-10 CM/PCS.
• Prior remote work experience required.

Responsibilities

• Perform daily pre-bill chart reviews and communicate recommendations.
• Review electronic health records for revenue opportunities.
• Prepare reimbursement recommendations.
• Analyze quality measures for Medicare cohorts.

Skills

Analytical skills

Communication skills

Organizational skills

Independent work

Proficiency in Microsoft Word

Proficiency in Microsoft Excel

Education

CCS or CDIP or CCDS certification

AHIMA Approved ICD-10 CM/PCS Trainer

RHIT or RHIA credential

Tools

TruCode

CDocT

EHR systems (Cerner, Meditech, Epic)

Job description

The Clinical Coding Analyst plays a critical role in ensuring accurate reimbursement, regulatory compliance, and documentation integrity for healthcare clients. This position directly impacts hospital revenue performance, coding compliance, and quality metrics by identifying opportunities, mitigating risks, and supporting physician documentation improvement.

This role ensures that coding accuracy and revenue integrity are optimized while maintaining strict adherence to Medicare regulations and ICD-10 standards.

How You'll Contribute

• Perform daily pre-bill chart reviews and communicate recommendations within 24 hours
• Review electronic health records for revenue opportunities and coding compliance issues
• Provide verbal reviews with physicians regarding MS-DRG recommendations and query opportunities
• Upload and document case data into MS DRG Database accurately
• Prepare reimbursement recommendations (increase, decrease, or informational)
• Review and respond to client questions and rebuttals within required timelines
• Review and appeal Medicare and third-party denials when appropriate
• Analyze 30-Day Readmissions and Mortality quality measures for Medicare cohorts
• Maintain system access across assigned client sites
• Stay current with ICD-10-CM/PCS updates, AHA Coding Clinics, and Medicare regulations
• Utilize internal coding tools (TruCode, CDocT)
• Adhere to company policies and compliance standards

What Makes You a Great Fit

• AHIMA credential: CCS or CDIP, or ACDIS credential: CCDS (Required)
• AHIMA Approved ICD-10 CM/PCS Trainer (Preferred)
• RHIT or RHIA credential (Preferred)
• Minimum 7 years acute inpatient hospital coding, auditing, and/or CDI experience
• Extensive ICD-10 CM/PCS knowledge
• Experience with CDI programs preferred
• Experience with EHR systems (Cerner, Meditech, Epic, etc.)
• Prior remote work experience required
• Strong analytical, communication, and organizational skills
• Proficiency in Microsoft Word and Excel
• Ability to work independently

Flexible schedule within 7:30 AM – 6:00 PM EST

Two required daily 20-minute physician meetings

Company core hours: 8:00 AM – 5:00 PM EST/CST