Job Description

Are you an experienced inpatient coder looking for a fully remote role where you can make a meaningful impact in healthcare? We're seeking a Senior Clinical Coder to join our team! This contract-to-hire opportunity offers flexibility, career growth, and a supportive work environment.

About the Role

As a Senior Clinical Coder, you'll play a key role in ensuring accuracy in inpatient facility coding and Diagnosis-Related Group (DRG) assignments. Your expertise will support coding compliance and retrospective medical claims reviews, contributing to a smooth and effective claims process.

Key Responsibilities

Conduct retrospective reviews of medical claims with a focus on accurate diagnosis and procedural coding, including DRG assignment.
Collaborate with medical directors, peer reviewers, providers, and claims teams to address coding-related inquiries and resolve complex issues.
Serve as a coding resource for clinical and non-clinical staff, sharing expertise to enhance understanding of coding processes.
Draft detailed determination letters to support claims decisions and communicate findings effectively.
Assist with network provider claim review requests by providing accurate and reliable coding evaluations.
What You Bring to the Role

Expertise in inpatient facility coding (not outpatient or general coding).
Comprehensive knowledge of DRG coding and its role in hospital billing workflows.
Experience with DRG-dependent hospital payment systems, as opposed to fee-schedule-based processes.
Coding certifications such as RHIT or RHIA are a plus, but relevant experience will also be strongly considered.
Exceptional attention to detail and a proven ability to demonstrate coding expertise effectively.
What We Offer

Fully remote work from the comfort of your home in one of our approved states.
A flexible, supportive, and collaborative work environment.
An opportunity to grow into a permanent position within a dynamic and evolving field.
Approved Work Locations
We welcome applicants residing in the following states: AK, AR, AZ, CO, DC, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NC, ND, NE, NM, NV, OK, OR, SC, SD, TN, TX, UT, VA, WA, WI, WY.

About the Opportunity
This is a contract-to-hire role with an average contract duration of 6-9 months before potential conversion to a permanent position.

Join us and contribute your expertise to a team dedicated to improving healthcare through accurate and efficient coding.
Employment Type: Full-Time
Salary: $ 33.00 38.00 Per Hour

Job Tags

Hourly pay, Permanent employment, Full time, Contract work, Flexible hours,

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