Senior Medical Coder, Inpatient

University of Maryland Medical System; Baltimore (MD); Remote; USD 55,000 - 75,000; Full time

Job summary

A leading healthcare organization is seeking a full-time remote Clinical Coding Specialist. The role involves coding hospital inpatient accounts, ensuring compliance with regulations, and collaborating with clinical staff. Ideal candidates will have extensive coding experience and relevant certifications. Join a supportive team that values professional growth and offers a dynamic work environment.

Qualifications

• Minimum of three years ICD-10-CM/PCS coding and abstracting experience.
• Certifications such as CCS, RHIT, RHIA, or CIC are required.

Responsibilities

• Codes hospital inpatient accounts for reimbursement and compliance.
• Analyzes and codes complex inpatient cases ensuring accurate assignment.
• Collaborates with senior coders and provides advice on complex cases.

Skills

Analytical Skills

Organizational Skills

Customer Service

Problem-Solving

Education

High School diploma or equivalent

Associates or Bachelor’s degree

Job description

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Company Description

The University of Maryland Medical System is a 14-hospital system with academic, community, and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, cardiac care, women’s and children’s health, and physical rehabilitation. UMMS is the fourth largest private employer in the Baltimore metropolitan area and one of the top 20 employers in Maryland. No organization offers the clinical variety, support, or professional growth opportunities that you’ll enjoy as part of our team.

Job Description

FULL TIME REMOTE - Any state but California, Hawaii, or Canada

I. General Summary

Under direct supervision, accurately codes hospital inpatient accounts for appropriate reimbursement, research, statistics, and compliance with federal and state regulations, following established ICD-10-CM/PCS coding classification systems.

II. Principal Responsibilities and Tasks

The following describes the general nature and level of work performed. It is not an exhaustive list of all duties.

• Serves as a clinical coding subject matter expert, analyzing and evaluating documentation issues with consultation from medical and clinical staff, and clinical documentation specialists as needed.
• Analyzes, codes, and abstracts complex inpatient cases such as trauma, rehab, neurology, critical care, etc., ensuring accurate APR-DRG/SOI/ROM and POA assignment using ICD-10-CM and ICD-10-PCS nomenclature.
• Uses critical thinking to evaluate documentation issues with input from medical and clinical staff, and clinical documentation specialists.
• Collaborates with senior coders and colleagues, sharing coding information and providing advice on complex cases.

Qualifications

III. Education and Experience

• High School diploma or equivalent; formal ICD-10-CM and CPT training; Associates or Bachelor’s degree preferred.
• Minimum of three years ICD-10-CM/PCS coding and abstracting experience at a Level 1 Trauma and Rehab hospital, or four years of inpatient coding experience.
• Certifications such as CCS, RHIT, RHIA, or CIC are required.

IV. Knowledge, Skills, and Abilities

• Strong analytical and organizational skills, ability to prioritize, meet deadlines, and work under pressure.
• Excellent customer service, problem-solving skills, familiarity with medical terminology, computer proficiency, and typing skills.

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