Medical Coder - Inpatient

UMMS•Linthicum Heights, MD

16h•Remote

About The Position

Pride Health is hiring a Coding Compliance Auditor for one of its clients in Maryland. This is a 3-month contract with possible Temp to Hire, with competitive pay and benefits. There is a Remote role, but it must be based in EST or CST hours. Seeking an experienced Coding Compliance Auditor to review and audit inpatient and outpatient medical records for coding accuracy, regulatory compliance, and appropriate reimbursement. This role serves as a coding subject matter expert, provides education and guidance to coding staff, and collaborates with clinical and documentation teams to ensure high-quality coding practices.

Requirements

High school diploma or equivalent required; Associate’s or Bachelor’s degree preferred.
Formal training in ICD-10-CM, ICD-10-PCS, and CPT coding.
Minimum 2 years of Level 1 Trauma inpatient coding experience or 4 years of inpatient hospital coding experience.
2–3 years of ambulatory/outpatient coding experience.
Required: Inpatient auditing experience.
One of the following certifications: CCS, RHIT, RHIA, or CIC.
Strong knowledge of coding regulations, DRG assignment, reimbursement methodologies, and compliance standards.

Responsibilities

Audit inpatient, outpatient, ambulatory surgery, and observation records for coding accuracy and compliance.
Review ICD-10-CM, ICD-10-PCS, and CPT coding assignments, DRGs, POA indicators, and documentation quality.
Audit complex inpatient cases, including trauma, rehabilitation, neurology, and critical care.
Monitor coding quality and productivity, provide feedback, and conduct focused audits.
Serve as a coding resource and educator for coding staff and collaborate with CDI and clinical teams.
Ensure adherence to coding compliance standards and organizational policies.