Job Overview
We are seeking an experienced Remote Medical Records Coder to join our healthcare team. The ideal candidate will possess strong expertise in ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and DRG assignment, ensuring accurate medical coding, regulatory compliance, and appropriate reimbursement.
This role involves reviewing clinical documentation, abstracting patient data, assigning diagnostic and procedural codes, and supporting healthcare revenue cycle operations.
Location: Remote
Employment Type: Full-Time
Pay Rate: $26–$27 per hour
Key Responsibilities
- Review and analyze inpatient and outpatient medical records for coding accuracy and completeness.
- Assign accurate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes based on physician documentation and clinical findings.
- Validate and confirm appropriate Diagnosis Related Group (DRG) assignments for reimbursement purposes.
- Abstract clinical information from medical records for reporting, quality measures, research, and compliance requirements.
- Ensure adherence to AHIMA, CMS, HIPAA, and payer-specific coding guidelines.
- Collaborate with physicians and healthcare providers to obtain documentation clarification when necessary.
- Identify coding discrepancies, billing edits, and documentation issues impacting claims processing.
- Assist in reducing coding and billing errors through process improvement initiatives.
- Maintain strict confidentiality of patient health information in accordance with HIPAA regulations.
- Support healthcare revenue cycle management by ensuring timely and accurate code assignment.
Required Qualifications
- High School Diploma or equivalent required.Associate Degree or Medical Coding Certification preferred.
- Minimum of 2 years of medical coding experience in a healthcare setting.Strong knowledge of medical terminology, anatomy and physiology, pathophysiology, pharmacology, and disease processes.
- Experience coding across multiple specialties, including inpatient and outpatient services.Proficiency with electronic health records (EHR), coding software, and encoder systems. Excellent analytical, communication, and problem-solving skills.
Certification
- Candidates must hold one of the following certifications:Certified Coding Specialist (CCS)Registered Health Information Technician (RHIT)Recognized Medical Coding Certification Preferred SkillsExpertise in hospital-based coding and reimbursement methodologies.
- Knowledge of Medicare, Medicaid, and commercial payer requirements.Understanding of compliance auditing, clinical documentation integrity (CDI), and coding quality assurance.Ability to maintain high coding accuracy and productivity standards in a remote work environment.
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