Medical Coder/Coding Specialist III- Remote PRN
About the position Responsibilities • Assigns and sequences codes for inpatient records using ICD-10-CM and PCS codes based on established guidelines. • Reviews documentation from Qualified Medical Providers and nurses to assign correct codes for significant diagnoses and procedures. • Ensures documentation supports diagnoses for accurate reimbursement and statistical research. • Meets coding quality and productivity standards established by the coding department. • Queries physicians for clarification on conflicting documentation in medical records. • Collaborates with the Clinical Documentation Integrity (CDI) team to validate diagnoses and DRG assignments. • Works with Patient Financial Service (PFS) to review documentation and resolve coding questions. • Gathers information required to produce clean claims and assists with appeals and disputes for reimbursement. • Collaborates with Compliance/Quality Team to address coding quality issues and implement recommendations. • Participates in audit reviews, mentoring, and training of other coders. Requirements • Minimum of 2 years of coding/abstracting experience in hospital inpatient coding or completion of Tidelands Health coding cross-training program. • High school graduate or equivalent required; Associate or Bachelor's degree in Health Information, Nursing, or related fields preferred. • AHIMA or AAPC-approved coding credentials required (e.g., RHIT, RHIA, CCS, CIC). • Strong analytical capabilities and organizational skills. • Proficient in assigning ICD-10-CM, CPT, and/or HCPCS codes to complex diagnoses and procedures. Nice-to-haves • Experience with EMR systems and coding software such as 3M encoder and CDI tools. • Knowledge of payer guidelines related to MUE, Medical Necessity, and HIPAA compliance. Benefits • Flexible work environment with options for remote work. • Opportunities for professional development and training. Apply tot his job