REMOTE Senior Inpatient Coder

This position follows a hybrid model with 1-2 onsite days.

$15k Sign On Bonus eligible

Job Description

Conducts concurrent and occasionally onsite medical chart reviews for pediatric
and neonatal ICU patients. Collaborates with medical directors and staff to
enhance the quality of physician documentation, ensuring a precise
representation of the patients' severity of illness, anticipated risk of
mortality, and the complexity of care administered. Ensures the accuracy,
completeness, and compliance of medical coding and documentation for all
pediatric patient encounters. Strives to optimize coding practices, minimize
denials, and maintain the highest standards of data integrity.

Job Responsibility

1.Analyzes and interprets complex pediatric medical records to ensure accurate
capture and coding of diagnoses, procedures, and appropriate levels of service,
adhering to established coding guidelines ( ICD-10-CM, CPT, HCPCS).
2.Applies advanced knowledge of pediatric anatomy, physiology, and medical
terminology to interpret clinical documentation and assign the most accurate and
specific codes.
3.Leverages coding resources, reference materials (e.g. online coding platforms,
coding manuals, payer policies), and internal expertise to ensure accurate code
selection, understand coding rules, and apply guidelines effectively.
4.3Demonstrates a comprehensive understanding of the impact of coding decisions
on the revenue cycle, including reimbursement, denials, and compliance.
5.Proactively facilitates clarification of provider clinical documentation to
ensure accuracy, completeness, and integrity in the medical record, using
effective communication techniques.
6.Maintains strict adherence to all government regulations), departmental
policies, and contractual agreements related to coding and billing practices.
7.Performs comprehensive internal audits of coding practices to identify areas
for improvement, reduce coding errors, and mitigate potential compliance risks.
8.Develops and implements corrective action plans to address identified coding
deficiencies.
9.Collaborates effectively with physicians, nurses, and other healthcare
providers to clarify documentation ambiguities, resolve coding discrepancies,
and ensure accurate and complete medical records.
10.Acts as a coding resource for other members of the clinical and
administrative teams in real-time.
11.Develops and delivers targeted feedback and training to providers on
documentation and coding best practices, focusing on areas for improvement and
compliance requirements.
12.Creates and maintains educational materials related to coding and
documentation guidelines.
13.Actively stays abreast of changes in coding guidelines, regulations (e.g.,
CMS updates, payer-specific policies), and coding software updates.
14.Proactively enhances coding skills through continuing education, professional
certifications, and participation in industry conferences and webinars.
15.Stays updated on the latest advancements in pediatric medicine and their
impact on coding practices

Job Qualification

• High School Diploma or equivalent required.
• 3 - 5 years of technical experience, required.
• Minimum 1 year experience in pediatric coding and documentation at acute care

facility, required.
* CPC certification, required. CPEDC certification, preferred. CCS/CIC
certification, preferred.
* Prior experience with inpatient facility coding, preferred.

This position follows a hybrid model, with 1-2 on-site days per week and the
remainder remote.

*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of
potential base compensation that may be offered to a successful applicant for
this position at the time of this job advertisement and may be modified in the
future.When determining a team member's base salary and/or rate, several factors
may be considered as applicable (e.g., location, specialty, service line, years
of relevant experience, education, credentials, negotiated contracts, budget and
internal equity).