Job Description

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Inpatient/Outpatient Coder based in United States. This fully remote role supports health information management and accurate clinical coding for medical facilities within a large healthcare network. The position involves reviewing inpatient and outpatient records and translating clinical documentation into accurate, compliant diagnosis and procedure codes. You will work across a range of services, including inpatient care, outpatient clinics, radiology, laboratory, ancillary services, and ambulatory surgery. The role requires strong knowledge of coding guidelines, electronic health records, and healthcare reimbursement practices. You will also identify documentation gaps, resolve coding questions, perform re-reviews, and support quality and billing processes. Success in this position depends on precision, consistency, confidentiality, and the ability to work independently in a secure remote environment. This is an opportunity for an experienced certified coder to contribute to high-quality healthcare data while working remotely within the United States. Accountabilities - Review inpatient and outpatient health records to identify reportable diagnoses, procedures, services, conditions, and required data elements. - Assign and sequence ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Level II codes in accordance with applicable coding guidelines and requirements. - Code outpatient clinic, urgent-care, radiology, laboratory, ancillary, and ambulatory surgical services as assigned. - Code inpatient episodes, including principal and secondary diagnoses, procedures, present-on-admission indicators, and DRG-related information. - Complete required inpatient record transition types and follow established procedures for opening, correcting, and retransmitting records. - Apply current coding guidance, Coding Clinic direction, CPT instructions, Correct Coding Initiative bundling rules, modifiers, and facility-specific protocols.

- Evaluate documentation to determine whether assigned codes are adequately supported and identify missing, conflicting, incomplete, duplicate, or erroneous information. - Abstract and accurately enter or validate required data within CPRS, VistA, approved encoder systems, and other authorized applications. - Re-review coded encounters during pre-bill processes or following denials, making supported corrections and providing coding justification when necessary. - Maintain a minimum coding accuracy of 95% while meeting established turnaround, quality, and delivery requirements. - Communicate documentation deficiencies, coding questions, and workflow concerns through appropriate channels. - Maintain patient and organizational information confidentiality and complete required privacy, security, quality-review, corrective-education, and annual training activities. - Maintain required professional credentials, system access approvals, and current inpatient and outpatient coding knowledge throughout the assignment. Requirements - At least two years of professional coding experience in the applicable inpatient and/or outpatient coding specialty. - Active RHIA, RHIT, CCS, or CCS-P credential from AHIMA, or active CPC or CPC-H credential from AAPC; other credentials are not accepted for this assignment. - Formal training in anatomy and physiology, medical terminology, pathology and disease processes, pharmacology, health-record content, reimbursement methodologies, and current coding systems. - Proficiency with ICD-10-CM, ICD-10-PCS as applicable, CPT, HCPCS Level II, official coding guidelines, encoder tools, electronic health records, CPRS, and VistA-related data entry. - Ability to consistently achieve at least 95% coding accuracy and meet assigned turnaround and quality standards. - U. S.

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