Inpatient Coder

Location:

Remote
City/State:
Baltimore, Maryland
Position Type:
Contract / Travel
Department:
Health Information Management (HIM)

Schedule:

Full-time

JOB SUMMARY:

The Inpatient Coder is responsible for reviewing inpatient medical records and assigning accurate ICD-10-CM and ICD-10-PCS codes in accordance with official coding guidelines, regulatory requirements, and Client policies. This position supports timely and accurate billing, reimbursement, and compliance and is fully remote.

ESSENTIAL RESPONSIBILITIES:

• Review inpatient medical records to assign appropriate ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes

• Ensure coding accuracy and compliance with AHIMA, AHA, CMS, and official coding guidelines

• Abstract clinical data accurately into the coding system

• Meet established productivity and quality benchmarks

• Identify documentation issues and work with CDI or providers as appropriate

• Maintain confidentiality and comply with HIPAA regulations

• Participate in audits, education, and quality improvement initiatives as required

• Stay current with coding updates, regulatory changes, and payer requirements

REQUIRED QUALIFICATIONS:

* Active coding certification (RHIT, RHIA, or CIC) required

* Minimum of 4+ years of recent inpatient hospital coding experience required

* Minimum of 3 years ICS-10-CM/ICD-10-PCS coding and abstracting experience with a Level 1 trauma and rehab hospital or 4 years of experience with coding inpatient hospital medical records required

* Strong knowledge of ICD-10-CM and ICD-10-PCS coding guidelines

* Experience coding complex inpatient hospital cases

* Proficiency with encoder and EHR systems preferred

* Ability to work independently in a remote environment (must have their own equipment)

WORK ENVIRONMENT:

* Fully remote position

* Must have reliable internet and a secure work environment

* Must be based in EST or CST hours