Inpatient Coder | Must be PHRN (WFH)

We are looking for highly skilled and detail oriented Inpatient Coder to join our medical coding team.

The ideal candidate will play a pivotal role in enhancing the quality and accuracy of clinical documentation to support optimal patient care and compliance with regulatory standards.

Key Responsibilities

• Collaborate with physicians, nurses, and other healthcare professionals to ensure complete and accurate documentation in patient medical records.

• Review medical records to identify documentation gaps, inconsistencies, or errors and recommend appropriate changes.

• Conduct in-depth chart reviews for compliance with coding and clinical guidelines, focusing on in-patient coding.

• Provide education and feedback to healthcare staff on proper documentation practices, coding requirements, and regulatory changes.

• Analyze data trends and provide actionable insights to improve documentation processes.

• Participate in interdisciplinary team meetings to discuss documentation improvement opportunities.

• Ensure compliance with HIPAA and other relevant regulations in all documentation activities.

• Collaborate with quality assurance teams to monitor and report on CDI metrics and performance.

Qualifications

• Must be a Registered Nurse with Active PRC license

• Active Coding Licese

Experience

• At least 1 year of in-patient coding / CDI experience.

• At least 1 year bedside experience

• Experience in a BPO setting is an advantage.

Skills

• Strong knowledge of ICD-10-CM/PCS coding guidelines and clinical terminologies.

• Excellent communication and interpersonal skills to collaborate with various stakeholders.

• Proficient in electronic medical record (EMR) systems and CDI tools.

• Analytical mindset with attention to detail.