Medical Coder - Inpatient Professional Fee

About the role

We are seeking a remote Medical Coder with a focus on accurate Evaluation and Management (E&M), ICD-10-CM, ICD-10-PCS, CPT, HCPCS codes, modifiers, and quantities derived from medical records.

Responsibilities

• Reviewing medical records, assigning principal and secondary diagnoses and procedures, ensuring code accuracy and compliance with guidelines.
• Sequencing diagnoses appropriately for correct reimbursement.
• Abstracting data and resolving incomplete or conflicting documentation through physician queries.
• Reviewing various documentation types such as discharge summaries, physician notes, radiology, and lab reports to determine diagnoses and procedures.
• Ensuring coding accuracy, completeness, and adherence to federal and insurance regulations.
• Verifying all components meet CMS, JCAHO, and client standards.
• Maintaining quality and quantity of coding, and utilizing computer applications efficiently.

Requirements

• Minimum of 2 years of professional fee medical coding experience.
• Experience with EHR systems and medical coding procedures.
• Certifications such as RHIT, RHIA, CCA, CCS, CCS-P, or CPC from recognized organizations are preferred.

Skills

• Strong problem-solving and team collaboration.
• Professionalism and attention to detail.
• Commitment to quality coding to support accurate reimbursement and compliance.