Job Description

Benefits:
Flexible schedule
Position Summary
The Inpatient Complex Coder is responsible for reviewing, abstracting, and coding inpatient medical records with a high level of accuracy and efficiency. This position focuses on complex, high acuity cases and requires expert knowledge in coding for specialized service lines including oncology (cancer center), heart and vascular services, neurosurgery, and organ transplants. The coder ensures accurate code assignment in accordance with all applicable coding guidelines, regulatory requirements, and reimbursement rules.
Role Responsibilities
Review and analyze complex inpatient medical records to assign accurate and complete ICD-10-CM, ICD-10-PCS, MS-DRG, and APR-DRG codes.
Apply expert-level coding knowledge for specialized cases, particularly in:
Cancer Center/Oncology
Heart and Vascular
Neurosurgery
Organ Transplants
Validate Present on Admission (POA) indicators and identify hospital-acquired conditions (HACs).
Ensure coding and documentation comply with federal and state regulations, payer guidelines, coding standards (ICD-10-CM/PCS, UHDDS, CMS), and internal policies.
Assist with denial management and provide coding support for appeals when necessary.
Meet and maintain established productivity and accuracy benchmarks.
Stay current on changes in coding guidelines and regulations, especially in high-risk specialties.

Required Qualifications
Certification Required: RHIA, RHIT, or CCS (Certified Coding Specialist) through AHIMA for at least 3 years.
Minimum 3–5 years of verifiable recent inpatient coding experience in the below specialties
Cancer Center/Oncology stays
Cardiac + Vascular inpatient procedures
Neurosurgery inpatient admissions
Organ Transplant stays
This is a remote position.

Job Tags

Flexible hours,

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Inpatient Complex Medical Coder Job at Coding Concepts, Gilbert, AZ

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