Inpatient Coder

Overview

• Provide expert inpatient coding services in a remote, contract-based role, ensuring compliance with healthcare regulations and industry standards.
• Interpret and apply advanced coding guidelines to support accurate claims processing and provider reimbursement strategies.
• Conduct thorough audits and reviews of medical records to ensure coding accuracy and adherence to compliance requirements.
• Collaborate with healthcare teams to enhance coding practices and improve documentation standards.
• Develop and deliver educational programs on coding and documentation for staff and providers.
• Adapt to evolving industry demands to maintain efficiency and compliance in coding practices.
• Utilize health data analytics to inform reimbursement strategies and policy decisions effectively.
• Contribute to the development of clinical classification and reimbursement guidelines for provider contracts.

Key Responsibilities & Duties

• Accurately assign diagnoses and procedures within medical records using established coding standards and guidelines.
• Monitor and implement regulatory updates to ensure compliance with coding guidelines and healthcare regulations.
• Conduct audits to validate coding accuracy and compliance with healthcare regulations and standards.
• Address claim denials and rejections, providing actionable recommendations for resolution and improvement.
• Develop and implement policies to enhance coding quality and operational efficiency across departments.
• Generate statistical reports on health information management compliance issues for organizational review.
• Provide training and mentorship to staff on coding and documentation best practices and standards.
• Support ICD-10-CM and ICD-10-PCS coding across various healthcare departments and specialties.

Job Requirements

• Bachelor of Science degree in a relevant field is required for this role.
• Certified Coding Specialist (CCS) certification is mandatory for consideration.
• Minimum of 5 years of inpatient coding experience in a healthcare setting is essential.
• Proficiency with encoder and electronic medical record (EMR) systems is required.
• Strong organizational, interpersonal, and communication skills are necessary for success.
• Knowledge of denials management and coding compliance is preferred for this position.
• Ability to manage multiple projects in a dynamic, fast-paced environment is crucial.
• Experience in developing and implementing coding policies and procedures is advantageous.