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Medical Coder

Medical Coder

Connect Search, LLCChicago, IL, United States
30+ days ago
Job type
  • Full-time
Job description

Job Title : Inpatient Medical Coder

Location : REMOTE

Comp : $30-35 / hr

Benefits : For eligible employees, we offer medical, dental, vision, and 401K.

Position Summary :

We are seeking an experienced and detail-oriented Inpatient Coder to accurately assign ICD-10-CM and PCS codes to inpatient medical records for proper billing, reimbursement, and data reporting. The ideal candidate will have a strong understanding of coding guidelines, medical terminology, anatomy, and compliance requirements, as well as the ability to work independently in a fast-paced healthcare environment.

Responsibilities :

  • Review and analyze inpatient medical records to identify appropriate ICD-10-CM diagnosis and PCS procedure codes.
  • Ensure coding accuracy and compliance with federal regulations, payer requirements, and official coding guidelines.
  • Assign DRGs (Diagnosis-Related Groups) to inpatient cases to optimize reimbursement accuracy and documentation integrity.
  • Collaborate with physicians and clinical documentation specialists (CDS) to clarify documentation and resolve discrepancies.
  • Maintain up-to-date knowledge of coding changes, regulatory updates, and hospital-specific policies.
  • Verify the accuracy and completeness of coded data to support quality assurance and performance improvement initiatives.
  • Utilize electronic health records (EHR) systems and encoder software to efficiently code and abstract patient information.
  • Meet productivity and accuracy standards set by the organization.
  • Ensure compliance with HIPAA regulations and patient confidentiality protocols.
  • Participate in continuing education and training to maintain coding certifications and expertise.

Qualifications :

  • High school diploma or equivalent required; associate or bachelor's degree in Health Information Management or related field preferred.
  • Certification required : CCA, CCS, CPC, or RHIT / RHIA
  • Minimum of 2 years of inpatient coding experience in a hospital or acute care setting preferred.
  • Strong knowledge of ICD-10-CM and PCS coding systems, DRG assignment, and medical terminology.
  • Proficient with EHR and coding software (e.g., EPIC, 3M Encoder, TruCode).
  • Excellent analytical, organizational, and communication skills.
  • Ability to work independently while maintaining accuracy and productivity standards.
  • Key Skills :

  • ICD-10-CM & PCS Coding | DRG Assignment | Clinical Documentation Improvement (CDI) | Compliance & Auditing | EHR Systems | HIPAA | Attention to Detail | Medical Terminology | Reimbursement Optimization | Analytical Thinking
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    Medical Coder • Chicago, IL, United States

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