Inpatient Coder

Summary

Join the University of Maryland Medical System as a fully remote inpatient coder, working 10-hour shifts Thursday through Sunday. Accurately code hospital inpatient accounts to ensure appropriate reimbursement, research, and compliance. Serve as a clinical coding subject matter expert, analyzing complex cases and collaborating with medical staff. Utilize ICD-10-CM/PCS coding systems and critical thinking skills to ensure accurate assignments. This role requires strong analytical and organizational skills, along with experience in a Level 1 Trauma and Rehab hospital setting.

Requirements

• High School graduate or equivalent
• Minimum of three years ICD-10-CM/ICD-10-PCS coding and abstracting experience with at a Level 1 Trauma and Rehab hospital or 4 years of experience with coding inpatient hospital medical records
• One of the following: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Inpatient Coder (CIC)
• Strong analytical and organizational skills
• Filing systems
• Ability to prioritize workloads
• Meet deadlines and work effectively under pressure
• Excellent customer service skills
• General office procedures
• Ability to problem solve and work with minimal supervision
• Familiar with basic medical terminology
• Computer experience
• Typing ability

Responsibilities

• Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed
• Analyzes, codes and abstracts complex inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment
• Utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed
• Collaborates with other senior coders (and the other coding staff) with sharing coding information and providing coding advice to colleagues regarding complex cases to be coded

Preferred Qualifications

• Formal ICD-10-CM and CPT training
• Associates or Bachelor’s degree