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Senior Clinical Coder (Inpatient Facility Coding) - Remote

TEEMA Group

Sarasota, FL • Remote

$80K - $90K/yr

Full-time

Posted 10 days ago

Job description

Senior Clinical Coder (Inpatient Facility Coding) – Remote

$80,000–$90,000 | Contract-to-Hire | 100% Remote

Are you an experienced Inpatient Facility Clinical Coder with strong DRG validation expertise? We're seeking a Senior Clinical Coder to join a collaborative clinical operations team supporting complex medical claims reviews and coding accuracy. This is a fully remote opportunity with long-term potential for permanent employment.

Position Details

  • Contract-to-Hire (average conversion: 6–9 months)

  • 100% Remote

  • Salary: $80,000–$90,000 annually (based on approved work state and geographic location)

  • Full-time

What You'll Do

  • Perform retrospective reviews of inpatient and outpatient medical claims

  • Validate DRGs and ensure accurate reimbursement

  • Apply ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding guidelines

  • Review claims for coding accuracy, compliance, and payment integrity

  • Prepare coding determinations and written review summaries

  • Identify coding discrepancies, quality concerns, and potential fraud

  • Serve as a coding subject matter expert for clinical and operational teams

  • Mentor and support fellow coding professionals

  • Research medical policies, coding regulations, and benefit guidelines

  • Escalate complex coding issues to Medical Directors when appropriate

Required Qualifications

  • High School Diploma or GED

  • One of the following active certifications:

    • CIC (Certified Inpatient Coder)

    • CCS (Certified Coding Specialist)

    • RHIT (Registered Health Information Technician)

  • 5+ years of clinical coding experience

  • 3+ years of inpatient facility coding and/or inpatient claims processing

  • Strong knowledge of DRG validation and hospital/facility coding

  • Experience in a high-volume production environment

  • U.S. Citizenship required

  • Ability to successfully complete a background investigation

Preferred Experience

  • Managed Care or Health Insurance

  • Government healthcare programs

  • Medical claims review

  • Payment integrity

  • Utilization Management

  • Clinical documentation improvement

  • Audit or coding quality review experience

Important

This position focuses on hospital inpatient facility coding.

Candidates with only physician, outpatient, clinic, or professional fee coding experience (including CPC-only backgrounds) are unlikely to be a match unless they also possess significant inpatient facility coding and DRG validation experience.

If you're an experienced inpatient hospital coder looking for a fully remote opportunity with excellent long-term potential, we'd love to hear from you. Apply today!

Email your resume

mpalkin@teemagroup.com