Senior Clinical Coder (Inpatient Facility Coding) - Remote

Job Description

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!

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