This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified Professional Coder), CIC (Certified Inpatient Coder), CDI (Clinical Documentation Improvement), or a ...
This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified Professional Coder), CIC (Certified Inpatient Coder), CDI (Clinical Documentation Improvement), or a ...
This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified Professional Coder), CIC (Certified Inpatient Coder), CDI (Clinical Documentation Improvement), or a ...
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This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified Professional Coder), CIC (Certified Inpatient Coder), CDI (Clinical Documentation Improvement), or a ...
Senior Medical Coder
Baltimore, MD · On-site +1
$60K - $80K/yr
Perform diagnosis coding of inpatient, outpatient, and physician office medical records per Risk Adjustment/Medicare Part C guidelines. * Perform intake validity checks on each medical record ...
Senior Medical Coder
Baltimore, MD · On-site +1
$60K - $80K/yr
Perform diagnosis coding of inpatient, outpatient, and physician office medical records per Risk Adjustment/Medicare Part C guidelines. * Perform intake validity checks on each medical record ...
Senior Medical Coder
Baltimore, MD · On-site +1
$60K - $80K/yr
Perform diagnosis coding of inpatient, outpatient, and physician office medical records per Risk Adjustment/Medicare Part C guidelines. * Perform intake validity checks on each medical record ...
Senior Medical Coder
Baltimore, MD · On-site +1
$60K - $80K/yr
Perform diagnosis coding of inpatient, outpatient, and physician office medical records per Risk Adjustment/Medicare Part C guidelines. * Perform intake validity checks on each medical record ...
Medical Coder
Falls Church, VA · On-site +1
$20 - $26.75/hr
Remote/Hybrid Job Type: Full-Time Position Overview: Venesco is seeking a detail-oriented Medical Coder to support clinical trials through accurate coding and reconciliation of medical data.
Medical Coder
Falls Church, VA · On-site +1
$20 - $26.75/hr
Remote/Hybrid Job Type: Full-Time Position Overview: Venesco is seeking a detail-oriented Medical Coder to support clinical trials through accurate coding and reconciliation of medical data.
Part Time Medical Coding Opportunity
Mclean, VA · Remote
$19.25 - $25.50/hr
Inpatient Medical Coder * Profee Medical Coder * Outpatient Medical Coder Auditor * Inpatient Medical Coding Trainer * Outpatient Medical Coding Trainer Requirements: * Recent medical coding ...
Part Time Medical Coding Opportunity
Mclean, VA · Remote
$19.25 - $25.50/hr
Inpatient Medical Coder * Profee Medical Coder * Outpatient Medical Coder Auditor * Inpatient Medical Coding Trainer * Outpatient Medical Coding Trainer Requirements: * Recent medical coding ...
100% REMOTE OPPORTUNITY Eligible remote states: District of Columbia, Maryland, Pennsylvania ... Following established conventions and guidelines, codes and abstracts the medical records of the ...
100% REMOTE OPPORTUNITY Eligible remote states: District of Columbia, Maryland, Pennsylvania ... Following established conventions and guidelines, codes and abstracts the medical records of the ...
100% REMOTE OPPORTUNITY SIGN-ON BONUS ELIGIBLE $10,000 Eligible remote states: District of Columbia ... Following established conventions and guidelines, codes and abstracts the medical records of the ...
100% REMOTE OPPORTUNITY SIGN-ON BONUS ELIGIBLE $10,000 Eligible remote states: District of Columbia ... Following established conventions and guidelines, codes and abstracts the medical records of the ...
Senior Medical Coding Subject Matter Expert
Falls Church, VA · On-site +1
$20 - $25.25/hr
... Coder (CPC), AHIMA Certified Coding Specialist (CCS), or AHIMA Registered Health Information Administrator (RHIA) with coding specialization. Minimum 10 years professional medical coding experience ...
Senior Medical Coding Subject Matter Expert
Falls Church, VA · On-site +1
$20 - $25.25/hr
... Coder (CPC), AHIMA Certified Coding Specialist (CCS), or AHIMA Registered Health Information Administrator (RHIA) with coding specialization. Minimum 10 years professional medical coding experience ...
Senior Medical Coding Subject Matter Expert
Falls Church, VA · Remote
$17 - $21.75/hr
... Coder (CPC), AHIMA Certified Coding Specialist (CCS), or AHIMA Registered Health Information Administrator (RHIA) with coding specialization. Minimum 10 years professional medical coding experience ...
Senior Medical Coding Subject Matter Expert
Falls Church, VA · Remote
$17 - $21.75/hr
... Coder (CPC), AHIMA Certified Coding Specialist (CCS), or AHIMA Registered Health Information Administrator (RHIA) with coding specialization. Minimum 10 years professional medical coding experience ...
Analyst Coder II/ Medical Records Coder
Landover, MD · On-site +1
$18.75 - $25/hr
While Analyst Coders may be assigned to perform the primary functions shown above, they will also ... After successful completion of training, the role may be eligible for remote or hybrid work ...
Analyst Coder II/ Medical Records Coder
Landover, MD · On-site +1
$18.75 - $25/hr
While Analyst Coders may be assigned to perform the primary functions shown above, they will also ... After successful completion of training, the role may be eligible for remote or hybrid work ...
Medical Coder
Alexandria, VA · On-site +1
$20 - $26.75/hr
Become a part of our caring community The Medical Coder / Coding Educator 2 identifies ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Medical Coder
Alexandria, VA · On-site +1
$20 - $26.75/hr
Become a part of our caring community The Medical Coder / Coding Educator 2 identifies ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Medical Coder
Springfield, VA · On-site +1
$19.50 - $26/hr
Become a part of our caring community The Medical Coder / Coding Educator 2 identifies ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Medical Coder
Springfield, VA · On-site +1
$19.50 - $26/hr
Become a part of our caring community The Medical Coder / Coding Educator 2 identifies ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Medical Coder
Springfield, VA · On-site +1
$19.50 - $26/hr
Become a part of our caring community The Medical Coder / Coding Educator 2 identifies ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Medical Coder
Springfield, VA · On-site +1
$19.50 - $26/hr
Become a part of our caring community The Medical Coder / Coding Educator 2 identifies ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Medical Coder
Centreville, VA · On-site +1
$18.50 - $24.75/hr
Become a part of our caring community The Medical Coder / Coding Educator 2 identifies ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Medical Coder
Centreville, VA · On-site +1
$18.50 - $24.75/hr
Become a part of our caring community The Medical Coder / Coding Educator 2 identifies ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Medical Coder
Annandale, VA · On-site +1
$18.75 - $24.75/hr
Become a part of our caring community The Medical Coder / Coding Educator 2 identifies ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Medical Coder
Annandale, VA · On-site +1
$18.75 - $24.75/hr
Become a part of our caring community The Medical Coder / Coding Educator 2 identifies ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Medical Coder
Fairfax, VA · On-site +1
$19.25 - $25.50/hr
Become a part of our caring community The Medical Coder / Coding Educator 2 identifies ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Medical Coder
Fairfax, VA · On-site +1
$19.25 - $25.50/hr
Become a part of our caring community The Medical Coder / Coding Educator 2 identifies ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Medical Coder
Fairfax, VA · On-site +1
$18.25 - $24.50/hr
Become a part of our caring community The Medical Coder / Coding Educator 2 identifies ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Medical Coder
Fairfax, VA · On-site +1
$18.25 - $24.50/hr
Become a part of our caring community The Medical Coder / Coding Educator 2 identifies ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Medical Coder
Alexandria, VA · On-site +1
$20 - $26.75/hr
Become a part of our caring community The Medical Coder / Coding Educator 2 identifies ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Medical Coder
Alexandria, VA · On-site +1
$20 - $26.75/hr
Become a part of our caring community The Medical Coder / Coding Educator 2 identifies ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Medical Coder
Fairfax, VA · On-site +1
$19.25 - $25.50/hr
Become a part of our caring community The Medical Coder / Coding Educator 2 identifies ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Medical Coder
Fairfax, VA · On-site +1
$19.25 - $25.50/hr
Become a part of our caring community The Medical Coder / Coding Educator 2 identifies ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...
Remote Inpatient Coder information
See Silver Spring, MD salary details
$20.81 - $22.07
6% of jobs
$22.07 - $23.33
4% of jobs
$23.85 is the 25th percentile. Wages below this are outliers.
$23.33 - $24.59
35% of jobs
The median wage is $24.75 / hr.
$24.59 - $25.86
34% of jobs
$25.86 - $27.12
11% of jobs
$27.12 - $28.38
4% of jobs
$28.38 - $29.64
1% of jobs
$29.64 - $30.90
1% of jobs
$30.90 - $32.16
1% of jobs
$32.16 - $33.42
1% of jobs
$33.42 - $34.68
1% of jobs
$20
$25
$34
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What Is a Remote Inpatient Coder?
A remote inpatient coder works remotely to perform all coding duties for an inpatient facility. Their job duties include entering the corresponding codes for diagnoses and procedures into classification system software for medical billing. This career requires a thorough knowledge of healthcare coding and software. Additional qualifications for a remote inpatient coder may include an associate’s or bachelor’s degree in health information management, a strong internet connection, and professional certification.
What is the difference between Remote Inpatient Coder vs Remote Outpatient Coder?
| Aspect | Remote Inpatient Coder | Remote Outpatient Coder |
|---|---|---|
| Certifications | AHIMA CCS, CPC, or CCS-P | AHIMA CCS, CPC, or CCS-P |
| Work Environment | Hospitals, inpatient facilities | Clinics, outpatient facilities |
| Industry Usage | Medical centers, hospitals | Physician offices, outpatient clinics |
Remote Inpatient Coders and Remote Outpatient Coders both require similar certifications and work in healthcare settings. The main difference lies in the work environment: inpatient coders focus on hospital stays, while outpatient coders handle outpatient visits. Understanding these distinctions helps professionals choose the right career path within medical coding.
What are some common challenges faced by Remote Inpatient Coders, and how can they be managed?
What are the key skills and qualifications needed to thrive as a Remote Inpatient Coder, and why are they important?
What are Remote Inpatient Coders?
SIU Nurse Auditor, RN, CPC (Full-time, Remote)
Integrity Management Services, Inc.Alexandria, VA • On-site, Remote
Full-time
Posted 14 days ago
Job description
Job Summary
We are seeking an experienced Clinical Nurse Auditor to join our Payment Integrity team. In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing skills to identify, monitor, and analyze unusual utilization patterns and potential fraud by healthcare providers. You will conduct prepayment claims reviews, post-payment audits, and comprehensive provider record reviews to ensure accurate billing, compliance with payer regulations, and integrity in reimbursement practices. This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified Professional Coder), CIC (Certified Inpatient Coder), CDI (Clinical Documentation Improvement), or a similar credential, through AAPC or AHIMA. Knowledge of commercial insurance plans, Medicare, and Medicaid programs is essential.
How You Will Make an Impact
- Investigations and Audits: Conduct in-depth medical reviews through prepayment claims review and post-payment auditing to identify potential over-utilization or fraudulent activities.
- Tool and Policy Development: Assist in the creation of audit tools, policies, procedures, and educational materials to enhance audit effectiveness and maintain high standards in payment integrity.
- Cross-Departmental Collaboration: Serve as a liaison with service operations and other departments to provide status updates on claims reviews and coordinate actions as needed.
- Data Analysis and Trending: Analyze performance data to identify patterns and trends, collaborate with service operations to address process improvements, and recommend modifications to medical policy.
- Fraud Detection Support: Support fraud investigators with medical review expertise to detect and address fraudulent activities.
- Mentorship: Act as a resource and mentor to other nurse auditors, supporting their professional growth and development in audit practices.
Requirements
Qualifications
- Education:
- Minimum Associate's Degree in Nursing required;
- Licensure & Certification:
- Current, unrestricted Registered Nurse (RN) license in applicable state(s).
- Certification in medical coding from AAPC or AHIMA (e.g., CPC, CIC, CDI, or equivalent) is highly preferred.
- Experience:
- Minimum 5 years of clinical nursing experience, preferably with exposure to hospital bill auditing or defense auditing.
- Strong knowledge of provider manuals, reimbursement policies, and medical policy guidelines.
- Prior experience with healthcare fraud investigation and auditing is highly preferred.
- Skills:
- Proficiency in CPT/HCPCS and ICD-10 coding, with a strong foundation in auditing, accounting, and control principles.
- Analytical and problem-solving skills with a keen attention to detail.
- Exceptional written and verbal communication skills for clear and effective reporting and provider engagement.
- Strong proficiency in Microsoft Office and familiarity with audit tracking systems.
Preferred Traits
- Meticulous, organized, and objective in analyzing claims and documentation.
- Ethical and responsible, with a commitment to supporting the integrity of healthcare billing and reimbursement.
- Able to work independently, stay current with rapidly changing healthcare regulations, and thrive in a fast-paced environment.
About Integrity Management Services
Sourced by ZipRecruiter
Industry
Business management consulting
Company size
51 - 200 Employees
Headquarters location
Alexandria, VA, US
Year founded
2009