Codes requested medical records using the most accurate and appropriate ICD-10-CM/PCS, CPT, and DRG assignment in accordance with regulatory coding guidelines, industry best practices, and HIA policies and procedures.
Abstracts key data from medical information in alignment with UHDDS requirements and other regulatory and best-practice standards.
Maintains required productivity and accuracy standards while supporting client and internal coding workflows.
Works remotely and uses secure remote access to review client EHR records, document coding activity, and communicate with client and corporate teams.
Requirements & Qualifications
Required Qualifications
- RHIA, RHIT, or CCS credential
- 2–3 years of inpatient and/or outpatient coding experience in an acute care facility
- Proficiency with ICD-10-CM/PCS
- Experience using an Electronic Medical Record (EMR)
- Strong computer skills, including the ability to research coding questions and use internal educational resources
- Reliable high-speed internet access via cable only; satellite or wireless cell-based service is not accepted
- Ability to work independently and remain focused in a remote environment
- Strong organizational, communication, and critical thinking skills
Essential Functions
- Review complete medical records and code primary/secondary diagnoses and procedures using ICD-10 and CPT conventions
- Use TruCode encoder to support appropriate reimbursement and DRG/MS-DRG assignment
- Write non-leading queries and communicate effectively with CDI specialists
- Maintain a 95% accuracy rate for DRG/APC and total codes
- Meet productivity standards established by the client
- Respond constructively to quality control audits and complete action plans promptly
- Submit coding questions according to HIA policy and procedure
- Maintain confidentiality and comply with HIPAA requirements
- Keep personnel and credentialing information current, including CE tracking and AHIMA membership status
Location
N/A
Employment Type
Not specified
Experience Level
Associate
Remote work allowed
Yes
Posted
1 month ago
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