Hospital Inpatient Coder Certified - FT - Day - HIM Facility Coding Remote (NJ, PA, AL)

Capital Health (US)

6d•$29 - $37•Remote

About The Position

Capital Health is seeking a certified hospital inpatient coder to review and analyze inpatient medical records and assign accurate, compliant ICD-10-CM diagnosis codes, ICD-10-PCS procedure codes, and MS-DRG/APR-DRG groupings. The role supports appropriate reimbursement, quality reporting, and compliance with official coding guidelines, payer regulations, and organizational policies. The coder works independently in a remote environment and collaborates with clinicians, Clinical Documentation Improvement (CDI), and revenue cycle teams as needed. This remote position is open only to candidates located in New Jersey, Pennsylvania, or Alabama. It is a full-time position with 40 scheduled weekly hours and an 8-hour usual workday. The listed pay range is $28.70–$37.32.

Requirements

High school diploma or equivalent.
Certified Coding Specialist (CCS) certification.
Previous hospital coding experience.
Excellent organizational, interpersonal, verbal, and written communication skills.
Vigilance and keen attention to detail.
Proper phone and email etiquette for frequent exchanges with hospitals and private providers.
Strong time-management skills to meet deadlines and productivity targets.
Intermediate computer skills.
Thorough knowledge of medical terminology, anatomy, and physiology.
Understanding of ICD-10-CM and ICD-10-PCS.
Knowledge and experience using an encoder and EMR.
Ability to work independently in a remote environment and under pressure in a fast-paced setting.
Ability to meet quality and productivity standards and interact effectively with other staff members.

Responsibilities

Review complete inpatient medical records, including physician notes, operative reports, consultations, imaging, laboratory results, and discharge summaries.
Assign and sequence ICD-10-CM diagnosis and ICD-10-PCS procedure codes according to official guidelines, UHDDS definitions, Coding Clinic guidance, and CMS requirements.
Code a full range of inpatient services, including high-complexity cases.
Assign correct and optimal MS-DRG/APR-DRG groupings.
Ensure accurate capture of MCCs/CCs, POA indicators, HACs, PSIs, SOI, and ROM.
Issue compliant physician queries when documentation is incomplete, ambiguous, or inconsistent; identify documentation gaps and escalate when clarification is needed.
Resolve coding edits, queries, and discrepancies in a timely and compliant manner.
Participate in internal and external audits and assist with corrective action plans.
Collaborate with CDI to support complete documentation and optimal DRG assignment.
Identify documentation-improvement opportunities and workflow challenges for coding leadership.
Meet or exceed departmental accuracy and productivity standards.
Code inpatient encounters efficiently to support timely billing and reduce DNFB; assist with accounts held for coding-related issues.
Maintain required coding credentials, including CCS, RHIT, or RHIA.
Stay current with annual ICD-10-CM/PCS updates, DRG changes, and regulatory updates.
Participate in continuing education, team meetings, and training sessions; adapt to changing departmental demands.
Perform other duties as assigned.

Benefits

Medical plan
Prescription drug coverage and in-house employee pharmacy
Dental plan
Vision plan
Flexible Spending Account, including healthcare and dependent care FSAs
Retirement Savings and Investment Plan
Basic and supplemental group term life and accidental death and dismemberment insurance
Long-term and short-term disability benefits
Employee Assistance Program
Commuter transit and parking benefits
Voluntary legal services
Voluntary accident, critical illness, and hospital indemnity insurance
Voluntary identity theft insurance
Voluntary pet insurance
Paid time-off program