Inpatient Complex Medical Coder

Benefits:

• Flexible schedule
  
  
  

Position Summary

The Inpatient Complex Coder is responsible for reviewing, abstracting, and coding inpatient medical records with a high level of accuracy and efficiency. This position focuses on complex, high acuity cases and requires expert knowledge in coding for specialized service lines including oncology (cancer center), heart and vascular services, neurosurgery, and organ transplants. The coder ensures accurate code assignment in accordance with all applicable coding guidelines, regulatory requirements, and reimbursement rules.

Role Responsibilities

• Review and analyze complex inpatient medical records to assign accurate and complete ICD-10-CM, ICD-10-PCS, MS-DRG, and APR-DRG codes.
• Apply expert-level coding knowledge for specialized cases, particularly in:
• Cancer Center/Oncology
• Heart and Vascular
• Neurosurgery
• Organ Transplants
• Validate Present on Admission (POA) indicators and identify hospital-acquired conditions (HACs).
• Ensure coding and documentation comply with federal and state regulations, payer guidelines, coding standards (ICD-10-CM/PCS, UHDDS, CMS), and internal policies.
• Assist with denial management and provide coding support for appeals when necessary.
• Meet and maintain established productivity and accuracy benchmarks.
• Stay current on changes in coding guidelines and regulations, especially in high-risk specialties.

Required Qualifications

• Certification Required: RHIA, RHIT, or CCS (Certified Coding Specialist) through AHIMA for at least 3 years.
• Minimum 3–5 years of verifiable recent inpatient coding experience in the below specialties
• Cancer Center/Oncology stays
• Cardiac + Vascular inpatient procedures
• Neurosurgery inpatient admissions
• Organ Transplant stays
  
  
  

This is a remote position.