Job Description
Location: Remote
Shift (EST): Monday–Friday or Sunday–Thursday; 1st or 2nd shift (flexible)
Review and code inpatient medical records using ICD-10-CM, ICD-10-PCS, and applicable guidelines
Assign and sequence diagnosis and procedure codes following UHDDS standards
Apply MS-DRGs, POA indicators, and procedural categories as appropriate
Ensure accurate discharge disposition coding
Maintain productivity and accuracy standards
Query physicians when documentation is unclear or incomplete
Validate documentation aligns with procedures performed
Review coding work queues and collaborate with revenue cycle teams to resolve accounts
Ensure compliance with coding, billing, and documentation regulations
High school diploma or equivalent required
Experience with EPIC is required
Minimum 1 year of coding experience required
One or more certifications required: RHIA, RHIT, CCS, CCA, CCS-P, CPC, or CPC-H
AHIMA coding certificate preferred
Multi-facility or remote coding experience preferred
Strong knowledge of ICD-10-CM, ICD-10-PCS, and MS-DRG coding guidelines
Understanding of medical terminology, anatomy, physiology, and surgical procedures
Knowledge of payer regulations and reimbursement systems
Familiarity with physician query processes and documentation compliance
Strong analytical and problem-solving skills
High attention to detail and accuracy
Ability to manage multiple priorities and meet deadlines
Strong communication skills and ability to work with clinical and revenue cycle teams
Knowledge of ethical coding standards and compliance requirements
