Senior Clinical Coder (Inpatient Facility Coding) – Remote

TEEMA GROUP

Sarasota, FL(remote)

JOB DETAILS
SALARY
$80,000–$90,000
SKILLS
Background Investigation, Certified Coding Specialist (CCS), Claims Processing, Clinical Facilities, Clinical Support, Code Reviews, Consulting, Diagnosis-Related Group (DRG), Government, Health Insurance, Healthcare, High School Diploma, Hospital, Managed Care, Medical Coding, Medical Research, Mentoring, Operational Support, Outpatient Care, Patient Care, Production Systems, Production Volume, Registered Health Information Technician (RHIT), Regulations, Reimbursement, Team Player, United States Citizen, Utilization Management
LOCATION
Sarasota, FL
POSTED
5 days ago

Senior Clinical Coder (Inpatient Facility Coding) – Remote

$80,000–$90,000 | Contract-to-Hire | 100% Remote

Are you an experienced Inpatient Facility Clinical Coder with strong DRG validation expertise? We're seeking a Senior Clinical Coder to join a collaborative clinical operations team supporting complex medical claims reviews and coding accuracy. This is a fully remote opportunity with long-term potential for permanent employment.

Position Details

  • Contract-to-Hire (average conversion: 6–9 months)

  • 100% Remote

  • Salary: $80,000–$90,000 annually (based on approved work state and geographic location)

  • Full-time

What You'll Do

  • Perform retrospective reviews of inpatient and outpatient medical claims

  • Validate DRGs and ensure accurate reimbursement

  • Apply ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding guidelines

  • Review claims for coding accuracy, compliance, and payment integrity

  • Prepare coding determinations and written review summaries

  • Identify coding discrepancies, quality concerns, and potential fraud

  • Serve as a coding subject matter expert for clinical and operational teams

  • Mentor and support fellow coding professionals

  • Research medical policies, coding regulations, and benefit guidelines

  • Escalate complex coding issues to Medical Directors when appropriate

Required Qualifications

  • High School Diploma or GED

  • One of the following active certifications:

    • CIC (Certified Inpatient Coder)

    • CCS (Certified Coding Specialist)

    • RHIT (Registered Health Information Technician)

  • 5+ years of clinical coding experience

  • 3+ years of inpatient facility coding and/or inpatient claims processing

  • Strong knowledge of DRG validation and hospital/facility coding

  • Experience in a high-volume production environment

  • U.S. Citizenship required

  • Ability to successfully complete a background investigation

Preferred Experience

  • Managed Care or Health Insurance

  • Government healthcare programs

  • Medical claims review

  • Payment integrity

  • Utilization Management

  • Clinical documentation improvement

  • Audit or coding quality review experience

Important

This position focuses on hospital inpatient facility coding.

Candidates with only physician, outpatient, clinic, or professional fee coding experience (including CPC-only backgrounds) are unlikely to be a match unless they also possess significant inpatient facility coding and DRG validation experience.

If you're an experienced inpatient hospital coder looking for a fully remote opportunity with excellent long-term potential, we'd love to hear from you. Apply today!

Email your resume

mpalkin@teemagroup.com

About the Company

T

TEEMA GROUP