Please Note:
- It is a Fully Remote position.
- Location: Remote
- City/State: Baltimore, Maryland
- Position Type: Contract / Travel
- Department: Health Information Management (HIM)
- Schedule: Full\-time
- Must have reliable internet and a secure work environment
- Client\-issued equipment may be provided per facility policy
DISCLAIMER
- This job description outlines the general nature of the role and is not intended to be an exhaustive list of all duties or responsibilities.
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 Clint 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