Insurance Coder Jobs in Pittsburgh, PA (NOW HIRING)

About e4health

At e4health, our vision is to Empower Better Health for our clients, our team, and the communities we serve. We live by five core values that guide everything we do:

• Embrace Change, Fun, and Learning: We maintain an unrelenting focus on quality, client success, and team member growth.
• Our PEOPLE Make the Difference: We build trusted relationships and celebrate wins every day.
• WE GROW: We believe in win/win outcomes—when our customers win, we win.
• GSD (Get Stuff Done): We say no to politics, drama, and egos, and yes to informed, agile decisions.
• Respectfully Listen, Challenge, & Support Each Other: We listen intently, challenge respectfully, and support fully.

Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. Our solutions streamline clinical, financial, and health information workflows, optimize coding, quality, and clinical documentation integrity processes, and address health IT operational challenges to deliver material results for healthcare organizations across the country. Learn more about us at www.e4.health.

POSITION TITLE:

Inpatient Coder

ROLE TYPE:

Full Time

EMPLOYMENT TYPE:

Non-Exempt

JOB SUMMARY:

The Inpatient Coder is responsible for accurately abstracting data into appropriate client electronic medical record systems, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding, UHDDS guidelines, and CMS directives. Performs data entry of required abstracted patient information into the client’s information system. Assigns Present on Admission (POA) indicators according to AHA POA guidelines. Queries physicians when appropriate and interacts with Clinical Documentation staff as per account requirements. Maintains consistent coding accuracy rate of 95% or better while also meeting productivity standards.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Assigns appropriate ICD-10-CM/PCS codes to inpatient accounts as per designated workflow
• Abstracts and enters coded data for hospital statistical and reporting requirements
• Assigns present on admission indicators and discharge dispositions
• Queries physicians to clarify conflicting, imprecise, incomplete, ambiguous, and/or inconsistent clinical information when appropriate
• Communicates documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution
• Communicates with Clinical Documentation Improvement and/or Revenue Cycle teams for follow up and reconciliation of accounts
• Maintains required productivity and quality requirements
• Maintains coding credential requirements

BENEFITS:

We offer an excellent salary, full benefits package including 401(k) with company match, medical, dental, vision, life, short/long term disability insurance, and PTO policy.

PHYSICAL DEMANDS OF THE ESSENTIAL FUNCTIONS:

This role requires prolonged periods of desk working on a computer

Talking, hearing, and near vision are required to perform computer-based tasks and virtual communications

Sensory perception (visual, auditory, and tactile) is essential for computer and phone use

WORKING CONDITIONS WHILE PERFORMING ESSENTIAL FUNCTIONS:

This is a remote role; work is performed in a home office environment.

e4health is an equal opportunity employer and will consider all applications without regard to race, color, religion, national origin, ancestry, marital status, veteran status, age, disability, pregnancy, genetic information, gender, sexual orientation, gender identity or any other legally protected category.

Applicants for U.S. based positions with e4health must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Visa sponsorship is not available for this position.

QUALIFICATIONS:

• Candidate must possess a valid CCS credential (AHIMA)
• 3+ years of Inpatient coding in large Academic/Trauma 1 setting required (600+ bed facilities)
• Must be proficient in ICD-10-CM and ICD-10-PCS coding
• Experience with Epic & Solventum is preferred
• 3+ years of coding within the US is required

Coders must have an understanding of Elixhauser codes (ID’d in the encoder) to ensure auto sequencing is occurring correctly and to code any and all Elixhauser comorbidities. We need coders to have an awareness of Vizient data and impact to the organization if the case is a mortality and/or POA status is incorrect (examples would include a mortality that falls to a DRG family where no provide from that team interacted with the patient, HAC or PSI conditions where the documentation is questionable and the coder needs to raise a query).

KEY SUCCESS ATTRIBUTES:

• Integrity, passion, and ethics are required
• Demonstrates strong collaboration skills
• Has strong analytic and problem-solving abilities and techniques
• Exhibit consistent initiative with strong drive for results and success
• Demonstrate commitment to a team environment?
• Demonstrate excellent interpersonal skills
• Well-developed written, verbal, and presentation communication skills including deep listening and attention to detail
• Ability to self-motivate and self-direct
• Possess strong time management and organizational skills
• Commitment and adherence to company Core Values

CORE COMPETENCIES:

• High level of integrity & ethical judgement
• Communication
• Consistency and Reliability
• Meeting Standards