Medical Coder - Linthicum Heights - Pride Health

    Pride Health
    Pride Health Linthicum Heights

    8 hours ago

    Healthcare
    Description

    Role: Inpatient Medical Coder (Trauma & Rehab)

    Project Type: Temp-to-Perm Contract Opportunity

    Shift: Day Shift – 5x8 (8:00 AM – 5:00 PM) (Shift time may vary but must be daytime hours)

    Work Arrangement: Remote

    Timezone Requirement: Must reside in CST or EST

    Interview Process: Microsoft Teams Interview

    Location Eligibility: Cannot hire candidates residing in Alaska, California, or Hawaii

    Pay Range - $40-42/hour

    Required Qualifications:

    • High School Diploma or equivalent (required)
    • Formal ICD-10-CM and CPT training (required)
    • Minimum 3+ years of ICD-10-CM and/or ICD-10-PCS coding and abstracting experience in a Level 1 Trauma and Rehab hospital
    • Minimum 4+ years of inpatient hospital medical record coding experience (required)
    • Trauma coding experience must be clearly reflected on the resume
    • Physician billing coders are not qualified (must have hospital inpatient medical record coding experience)
    • Associate's or Bachelor's degree (preferred)

    Required Certification (One Required):

    • CCS (Certified Coding Specialist)
    • RHIT (Registered Health Information Technician)
    • RHIA (Registered Health Information Administrator)
    • CIC (Certified Inpatient Coder)

    Project Description:

    Supported hospital inpatient coding operations to ensure accurate reimbursement, reporting, and compliance with federal and state regulations. Responsible for coding and abstracting complex inpatient medical records in a Level 1 Trauma and Rehabilitation hospital setting using ICD-10-CM and/or ICD-10-PCS classification systems while maintaining quality and productivity standards.

    Key Responsibilities:

    • Coded and abstracted inpatient hospital accounts to support reimbursement, compliance, research, and statistical reporting
    • Served as a clinical coding subject matter expert, using critical thinking to analyze documentation and identify coding opportunities
    • Coded complex inpatient cases including trauma, rehabilitation, neurology, critical care, and other high-acuity patient types
    • Ensured accurate APR-DRG assignment, SOI/ROM scoring, and POA indicators based on documentation
    • Reviewed clinical documentation and collaborated with physicians, clinical staff, and CDI specialists to resolve documentation issues
    • Composed accurate and compliant coding queries and worked collaboratively with CDI teams
    • Demonstrated understanding of PPCs (Potentially Preventable Complications), MHACs (Maryland Hospital Acquired Conditions), and PQIs (Prevention Quality Indicators) and their impact on coding outcomes
    • Provided guidance and coding support to senior coders and other coding staff regarding complex inpatient accounts
    • Monitored daily workload to ensure timely completion and support the billing process within established turnaround times
    • Maintained required coding performance standards including 90% quality accuracy and 95% productivity
    • Communicated with hospital departments regarding billing and registration issues and escalated concerns to management as needed
    • Collaborated with the auditing team to review findings, resolve discrepancies, and ensure compliance with coding standards
    • Ensured adherence to AHIMA ethical coding standards and compliance guidelines
    • Completed coding corrections and additional projects as assigned by management

    Skills Utilized:

    • Inpatient Medical Coding (Hospital-Based)
    • Trauma & Rehabilitation Coding
    • ICD-10-CM / ICD-10-PCS
    • APR-DRG, SOI/ROM, POA Assignment
    • Clinical Documentation Review & Query Writing
    • CDI Collaboration
    • PPC/MHAC/PQI Knowledge
    • Audit Support & Coding Corrections
    • Billing Turnaround & Productivity Management
    • AHIMA Compliance & Ethical Coding Standards

    Pride Health provides a comprehensive benefits package, including medical, dental, and vision insurance, flexible spending accounts, company-paid life and long-term disability insurance, and optional supplemental life insurance for employees, spouses, and children. Additional perks include short-term disability, accident and critical illness coverage, identity theft protection, a 403b retirement plan, and tuition reimbursement of up to $4,000 annually for full-time employees.

    Interested? Apply now

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