JOB SUMMARY:
Under direct supervision, the Senior Inpatient Coder accurately codes hospital inpatient accounts for appropriate reimbursement, research, statistics, and compliance with federal and state regulations using established ICD-10-CM and ICD-10-PCS classification systems.
Key Responsibilities
- Serve as a clinical coding subject matter expert
- Apply strong critical thinking skills to analyze and evaluate documentation issues in collaboration with medical staff, clinical staff, and clinical documentation specialists
- Analyze, code, and abstract complex inpatient cases including trauma, rehab, neurology, and critical care using ICD-10-CM and ICD-10-PCS to ensure accurate APR-DRG, SOI, ROM, and POA assignment
- Collaborate with senior coders and coding staff to share knowledge and provide guidance on complex cases
- Monitor assigned workload daily to support timely billing processes
- Code and abstract records within established turnaround times for each patient type
- Maintain a coding accuracy rate of 90 percent
- Maintain a productivity rate of 95 percent
- Communicate with hospital departments regarding billing and registration issues and escalate concerns to management with clear documentation
- Compose appropriate coding queries and work closely with CDI teams
- Understand PPCs, MHACs, and PQIs and their financial and quality impact
- Communicate with the auditing team to review findings and ensure accounts meet compliance standards
- Adhere to AHIMA ethical coding standards and compliance guidelines
- Support the University of Maryland Medical System mission, vision, values, goals, and policies
- Perform other duties or projects such as coding corrections as assigned by management
Hours: Operating hours are 6AM to 6PM EST
Flexible 8 or 10 hour shifts
40 hours per week within the operating timeframe
Required Qualifications
- High school diploma or equivalent
- Candidates must be US BASED (Eastern/Mountain/Central Time)
- Formal ICD-10-CM and CPT training
- Associate or Bachelor’s degree preferred
- Minimum of 3 years of ICD-10-CM and ICD-10-PCS coding and abstracting experience in a Level 1 Trauma and Rehab hospital
- Trauma coding experience is required
- 4 years of inpatient hospital medical record coding experience required
- One of the following certifications is required
- Certified Coding Specialist CCS
- Registered Health Information Technician RHIT
- Registered Health Information Administrator RHIA
- Certified Inpatient Coder CIC
WORK ENVIRONMENT:
- Fully remote position
- Must have their own equipment to work from
- Must have reliable internet and a secure work environment
- Must work EST or CST hours
Choose 1st Choice — we care about our people, offer great benefits, and create real opportunities to grow. With 20+ years of nationwide staffing success, we're here to help you thrive. We’re an equal opportunity employer and welcome all qualified applicants.
Company Description
1st Choice is a professional management consulting firm with more than two decades of experience delivering innovative consulting, technology, and staffing solutions to federal and commercial organizations throughout the United States.
At 1st Choice we embrace diversity of humanity and all it brings to creating an innovative environment. 1st Choice exhibits a compelling workplace through its ethically driven team and diverse academic backgrounds the staff delivers to the organization. We take pride in hiring staff that offers world-class service to support government agencies, corporations, and non-profit organizations nationwide.