Position : MS Inpatient Coder (Remote)
WFH/Remote
Per Diem


I. General Summary:

Under direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems.

II. Principal Responsibilities and Tasks:

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

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  Analyzes inpatient cases, identifies and assigns ICD-10 diagnostic and PCS procedural codes for the purpose of reimbursement, research and compliance with federal and state regulations. Demonstrates comprehensive knowledge of coding nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment. Utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed.

2. Monitors assigned work on a daily basis in order to facilitate the billing process within the established timeframes. Codes and abstracts records within timeframes established for each patient type.

• Maintains coding quality accuracy rate of 90%.
• Maintains productivity rate of 95%.

3.Communicates with various departments within the hospitals regarding billing and registration issues. Refers any problems to management timely, providing clear details. Compose appropriate coding queries, work collaboratively with CDI, understand Potentially Preventable Complications (PPC’s)/Maryland Hospital Acquired Conditions (MHAC’s), and Prevention Quality Indicators (PQI’s) and their impact.

4. Communicates with the Auditing team to discuss audit findings and working collaboratively in making sure that all accounts are coded appropriately and meet standards of compliance

5. Complies with AHIMA standards of ethical coding and coding compliance guidelines.

6. Demonstrates support and compliance with University of Maryland Medical System mission, vision, values statement,

III. Education and Experience:


High School graduate or equivalent. Formal ICD-10-CM and CPT training required. Associates or Bachelor’s degree preferred.

At least two years of experience in outpatient coding with a CCS certification (or obtain within one year) required with at least a minimum of one year of inpatient ICD-10-CM/ICD-10-PCS coding and abstracting experience in a hospital setting required.

One of the following required: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Inpatient Coder (CIC)

IV. Knowledge, Skills and Abilities:

Strong analytical and organizational skills; filing systems; ability to prioritize workloads; meet deadlines and work effectively under pressure; excellent customer service skills; general office procedures; ability to problem solve and work with minimal supervision; familiar with basic medical terminology; computer experience; typing ability.