Inpatient Coder-Evening
Posted 2025-08-15
Remote, USA
Full Time
Immediate Start
About the position
At Hackensack Meridian Health, we are dedicated to helping our patients lead better, healthier lives, and we extend that commitment to our team members. Our culture is built on connection and collaboration, ensuring that every employee feels valued and supported. As an Inpatient Coder, you will play a crucial role in our mission to transform healthcare and serve as a leader of positive change. This position is fully remote, allowing you to work from anywhere while being part of the largest healthcare network in New Jersey. In this role, you will be responsible for assigning principal diagnoses, comorbidities, complications, and chronic conditions for inpatient cases across our network. You will utilize mandated coding systems in accordance with the Centers for Medicare and Medicaid Services (CMS) and other coding compliance regulations. Your work will involve coding using the International Classification of Diseases (ICD)-10-CM and ICD-10-Procedure Coding System (PCS), abstracting pertinent information from patient records, and ensuring that all coding is done to the highest specificity. You will also be tasked with sequencing diagnoses and procedures according to coding guidelines, optimizing Diagnosis-Related Group (DRG) assignments, and addressing any edits related to nosology, Patient Safety Indicators (PSI), and hospital-acquired conditions. Communication with physicians will be essential when code assignments are unclear or documentation is inadequate. Staying updated on coding guidelines, reimbursement reporting requirements, and new technologies will be part of your ongoing responsibilities. You will also be expected to adhere to ethical coding standards and participate in educational webinars to enhance your coding skills.
Responsibilities
• Assigns ICD-10-CM and ICD-10-PCS codes for inpatient cases.
,
• Abstracts pertinent information from patient records.
,
• Sequences diagnoses and procedures using coding guidelines and optimizes DRG assignments.
,
• Addresses all edits related to coding quality indicators.
,
• Applies reason/tracking code and rationale for DRG mismatches.
,
• Queries physicians for clarification on code assignments when necessary.
,
• Applies present on admission (POA) indicators on inpatient charts.
,
• Keeps abreast of coding guidelines and reimbursement requirements.
,
• Data enters coded information for DRG assignment into the designated computer system.
,
• Reviews Case Management notes and assigns discharge disposition accordingly.
,
• Identifies missing operative/path reports in patient records and notifies relevant departments.
,
• Participates in ongoing coding educational webinars and sessions.
,
• Reviews audited cases by third-party companies and provides rebuttals if needed.
,
• Adheres to organizational competencies and standards of behavior.
Requirements
• High School diploma or GED equivalent.
,
• Minimum of 3+ years of experience coding in an acute complex healthcare environment.
,
• Demonstrated expertise in Medical Terminology, Anatomy and Physiology, Pathophysiology, Pharmacology, and inpatient coding.
,
• Proficiency in encoder usage and computer skills.
,
• Excellent written and verbal communication skills.
,
• Proficient in Microsoft Office and Google Suite.
Nice-to-haves
• Associate's degree or higher in Health Information Management, Allied Health, or a related field.
Benefits Apply tot his job
At Hackensack Meridian Health, we are dedicated to helping our patients lead better, healthier lives, and we extend that commitment to our team members. Our culture is built on connection and collaboration, ensuring that every employee feels valued and supported. As an Inpatient Coder, you will play a crucial role in our mission to transform healthcare and serve as a leader of positive change. This position is fully remote, allowing you to work from anywhere while being part of the largest healthcare network in New Jersey. In this role, you will be responsible for assigning principal diagnoses, comorbidities, complications, and chronic conditions for inpatient cases across our network. You will utilize mandated coding systems in accordance with the Centers for Medicare and Medicaid Services (CMS) and other coding compliance regulations. Your work will involve coding using the International Classification of Diseases (ICD)-10-CM and ICD-10-Procedure Coding System (PCS), abstracting pertinent information from patient records, and ensuring that all coding is done to the highest specificity. You will also be tasked with sequencing diagnoses and procedures according to coding guidelines, optimizing Diagnosis-Related Group (DRG) assignments, and addressing any edits related to nosology, Patient Safety Indicators (PSI), and hospital-acquired conditions. Communication with physicians will be essential when code assignments are unclear or documentation is inadequate. Staying updated on coding guidelines, reimbursement reporting requirements, and new technologies will be part of your ongoing responsibilities. You will also be expected to adhere to ethical coding standards and participate in educational webinars to enhance your coding skills.
Responsibilities
• Assigns ICD-10-CM and ICD-10-PCS codes for inpatient cases.
,
• Abstracts pertinent information from patient records.
,
• Sequences diagnoses and procedures using coding guidelines and optimizes DRG assignments.
,
• Addresses all edits related to coding quality indicators.
,
• Applies reason/tracking code and rationale for DRG mismatches.
,
• Queries physicians for clarification on code assignments when necessary.
,
• Applies present on admission (POA) indicators on inpatient charts.
,
• Keeps abreast of coding guidelines and reimbursement requirements.
,
• Data enters coded information for DRG assignment into the designated computer system.
,
• Reviews Case Management notes and assigns discharge disposition accordingly.
,
• Identifies missing operative/path reports in patient records and notifies relevant departments.
,
• Participates in ongoing coding educational webinars and sessions.
,
• Reviews audited cases by third-party companies and provides rebuttals if needed.
,
• Adheres to organizational competencies and standards of behavior.
Requirements
• High School diploma or GED equivalent.
,
• Minimum of 3+ years of experience coding in an acute complex healthcare environment.
,
• Demonstrated expertise in Medical Terminology, Anatomy and Physiology, Pathophysiology, Pharmacology, and inpatient coding.
,
• Proficiency in encoder usage and computer skills.
,
• Excellent written and verbal communication skills.
,
• Proficient in Microsoft Office and Google Suite.
Nice-to-haves
• Associate's degree or higher in Health Information Management, Allied Health, or a related field.
Benefits Apply tot his job