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Inpatient Coder

Nemours Children's Health

Join our team as an Inpatient Coder. This role is responsible for assessing documentation for each service rendered in the hospital setting to accurately code principal diagnoses, secondary conditions, procedures, and social determinant codes using American Hospital Association guidelines, CPT guidelines, payer-specific rules, and drug administration requirements. The position also includes revenue charge capture, review of revenue codes and grouper function, assessment of surgical and pharmacy charges, and collaboration with clinical documentation to support accurate coding and billing.

This position is remote. Applicants must reside in one of the following states: Alabama, Colorado, Delaware, District of Columbia, Florida, Georgia, Illinois, Maryland, Missouri, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, and Virginia.

Requirements & Qualifications
  • Ability to interpret medical record documentation and accurately assign codes for concurrent and discharged accounts across multiple specialties
  • Knowledge of code sequencing for grouper-related payers and charge capture assessment
  • Understanding and application of M.E.A.T. criteria using ICD-10-CM data sets
  • Ability to identify missing charges and high-risk encounters prior to encounter completion
  • Strong understanding of payer-specific billing requirements and modifier assignment
  • Excellent knowledge of ICD-10-CM, CPT-4, and modifier application
  • Certification required: CPC, CCS, RHIT, RHIA, or COC
  • Minimum education: Associate's degree
  • Medical terminology, anatomy, and physiology required
  • Working knowledge of hospital information systems and clinical documentation workflows

Location

Orlando, Florida, US

Employment Type

Full-time

Experience Level

Associate

Remote work allowed

Yes

Posted

1 month ago

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