Coder IP

Overview

Inpatient Hospital Coder

Work Style: Remote

Location Requirement: Must reside in an approved state (FL, GA, MO, PA, SC, NC, TN, or TX)

FTE: Full-Time (1.0 FTE)

Reviews and analyzes medical records to assign appropriate diagnostic and procedural codes in compliance with established coding guidelines and organizational policies. Collaborates with healthcare providers to clarify documentation and resolves coding discrepancies, ensures the integrity of coded data for billing and reporting purposes. Maintains current knowledge of coding standards such as ICD, CPT, and HCPCS, and supports the billing department by providing precise coded information for claims submission. Includes auditing coded data, training staff on coding procedures, and monitoring coding productivity and quality metrics to enhance departmental performance.

Responsibilities

Responsibilities:

• Reviews and analyzes medical records to assign appropriate diagnostic and procedural codes.
• Ensures compliance with coding guidelines and organizational policies.
• Collaborates with healthcare providers to clarify documentation.
• Resolves coding discrepancies and maintains data integrity.
• Supports billing department with accurate coded information for claims.
• Audits coded data and monitors productivity and quality metrics.
• Trains staff on coding procedures and updates.

Qualifications

Education

• High School Diploma required.
• Certified Professional Coder (CPC) certification required at time of hire.
• Please note: CPC-A does not meet the certification requirements for this role.

Minimum Experience Required:

• Minimum of three (3) years of physician coding experience required, preferably within radiology or specialty physician practice environments.
• Experience with ICD-10-CM, CPT, and HCPCS coding required.
• Experience with healthcare billing and reimbursement processes required.
• Experience with revenue cycle workflows and denial prevention processes required.
• Experience working with electronic medical record (EMR) systems required.qaa1