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Contech Systems

Inpatient Coder

Contech Systems, Baltimore, Maryland, United States, 21276

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Location: Remote

City/State: Baltimore, Maryland

Position Type: Contract / Travel

Department: Health Information Management (HIM)

Schedule: Full-time

JOB SUMMARY:

The Inpatient Coder is responsible for reviewing inpatient medical records and assigning accurate ICD-10-CM and ICD-10-PCS codes in accordance with official coding guidelines, regulatory requirements, and Client policies. This position supports timely and accurate billing, reimbursement, and compliance and is fully remote.

ESSENTIAL RESPONSIBILITIES:

- Review inpatient medical records to assign appropriate ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes

- Ensure coding accuracy and compliance with AHIMA, AHA, CMS, and official coding guidelines

- Abstract clinical data accurately into the coding system

- Meet established productivity and quality benchmarks

- Identify documentation issues and work with CDI or providers as appropriate

- Maintain confidentiality and comply with HIPAA regulations

- Participate in audits, education, and quality improvement initiatives as required

- Stay current with coding updates, regulatory changes, and payer requirements

REQUIRED QUALIFICATIONS:

*Active coding certification (RHIT, RHIA, or CIC) required

*Minimum of 4+ years of recent inpatient hospital coding experience required

*Minimum of 3 years ICS-10-CM/ICD-10-PCS coding and abstracting experience with a Level 1 trauma and rehab hospital or 4 years of experience with coding inpatient hospital medical records required

*Strong knowledge of ICD-10-CM and ICD-10-PCS coding guidelines

*Experience coding complex inpatient hospital cases

*Proficiency with encoder and EHR systems preferred

*Ability to work independently in a remote environment (must have their own equipment)

WORK ENVIRONMENT:

*Fully remote position

*Must have reliable internet and a secure work environment

*Must be based in EST or CST hours