Inpatient Coding Specialist, Remote

About the role

The Inpatient Coding Specialist is responsible for the accurate and timely assignment of ICD-10-CM/PCS codes and DRGs for inpatient encounters in compliance with federal regulations, payer guidelines, and organizational policies. This role ensures data integrity, supports revenue cycle optimization, and maintains adherence to coding and documentation standards.

Qualifications

• High School Diploma or Equivalent required
• Associate's Degree in Medical Billing and Coding preferred
• 2+ years of medical coding experience required

Duties/Responsibilities

• Review inpatient medical records (e.g., H&P, progress notes, operative reports, discharge summaries) to assign appropriate ICD-10-CM and ICD-10-PCS codes
• Accurately assign MS-DRG/APR-DRG based on clinical documentation and coding guidelines
• Ensure compliance with Official Coding Guidelines, AHA Coding Clinic, CMS regulations, and payer-specific requirements
• Identify documentation gaps and initiate physician queries in accordance with compliant query practices
• Validate and reconcile CAC (Computer Assisted Coding) suggestions, if applicable
• Meet or exceed productivity and quality benchmarks established by the organization
• Incorporate feedback from internal and external coding audits into coding practice
• Collaborate with CDI, Quality, and Revenue Cycle teams to improve documentation and reimbursement outcomes
• Maintain confidentiality and comply with HIPAA regulations

Knowledge, Skills And Abilities

• In-depth knowledge of medical coding systems, including ICD-10/PCS and their application in hospital billing
• Strong understanding of coding guidelines, regulations, and industry best practices
• Adhere to AHIMA standards of ethical coding and HIPAA regulations
• Analyze full inpatient charts to ensure complete, compliant documentation
• Determine the appropriate Diagnosis Related Group (DRG) to maximize appropriate reimbursement
• Strong communication and interpersonal skills to effectively collaborate with healthcare providers, coders, and other stakeholders
• Strong problem-solving skills to address coding-related challenges and implement effective solutions
• Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment
• Maintain established accuracy rates (typically 95% or higher) and daily coding quotas

Working Schedule

Remote, M-F eastern standard business hours. Requires a quiet, secure, HIPAA-compliant working station

Comprehensive benefits

• PTO
• Retirement
• Tuition assistance
• Flexible hours
• Paid CEUs/AHIMA Membership

Additional Job Details (if Applicable)

Remote Type
Remote Work Location 399 Revolution Drive
Scheduled Weekly Hours 40
Employee Type Regular
Work Shift Day (United States of America)
Pay Range $25.50 - $36.49/Hourly
Grade 5

EEO Statement

Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.