Remote Inpatient Coding Specialist

Join our team as a Remote Inpatient Coding Specialist and play an essential role in ensuring accurate medical coding and billing processes. As a subject matter expert, you will use your knowledge of ICD-10-CM, ICD-10-PCS, HCPCS, NCCI, CMS, and CMG coding standards to review appeals and denials. Your expertise will help substantiate coding principles, address potential billing and coding concerns, and maintain high-quality standards in documentation. This is a fully remote position.

Hours:

Monday - Friday 8am -5p EST with flexibility

Responsibilities:

Apply medical coding principles and industry guidelines objectively during appeals and denial review processes.

Leverage knowledge of ICD-10-CM, ICD-10-PCS, HCPCS, NCCI, CMS, and CMG to identify, analyze, and resolve billing and coding issues.

Assess quality concerns by verifying adherence to regulatory requirements and best practices.

Participate in client system education to gain familiarity with specific platforms and workflows.

Ensure all appeals are accurately supported by clinical documentation, coding/CDI guidelines, and regulatory standards.

Collaborate with clients and internal stakeholders to clarify documentation and coding requirements.