Inpatient Coder

Please Note:

• It is a Fully Remote position.
• Location: Remote
• City/State: Baltimore, Maryland
• Position Type: Contract / Travel
• Department: Health Information Management (HIM)
• Schedule: Full-time
• Fully remote position
• Ability to work independently in a remote environment (must have their own equipment)
• Must be based in EST or CST hours

JOB SUMMARY

The Inpatient Coder is responsible for reviewing inpatient medical records and assigning accurate ICD-10-CM and ICD-10-PCS codes in accordance with official coding guidelines, regulatory requirements, and Clint policies. This position supports timely and accurate billing, reimbursement, and compliance, and is fully remote.

ESSENTIAL RESPONSIBILITIES

• Review inpatient medical records to assign appropriate ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes
• Ensure coding accuracy and compliance with AHIMA, AHA, CMS, and official coding guidelines
• Abstract clinical data accurately into the coding system
• Meet established productivity and quality benchmarks
• Identify documentation issues and work with CDI or providers as appropriate
• Maintain confidentiality and comply with HIPAA regulations
• Participate in audits, education, and quality improvement initiatives as required
• Stay current with coding updates, regulatory changes, and payer requirements

Requirements

REQUIRED QUALIFICATIONS

• Active coding certification (RHIT, RHIA, or CIC) required
• Minimum of 4+ years of recent inpatient hospital coding experience required
• Minimum of 3 years ICS-10-CM/ICD-10-PCS coding and abstracting experience with a Level 1 trauma and rehab hospital or 4 years of experience with coding inpatient hospital medical records required
• Strong knowledge of ICD-10-CM and ICD-10-PCS coding guidelines
• Experience coding complex inpatient hospital cases
• Proficiency with encoder and EHR systems preferred
• Ability to work independently in a remote environment (must have their own equipment)

PREFERRED QUALIFICATIONS

• Experience with Epic or 3M encoder preferred
• Experience working in an academic or large health system setting preferred