Inpatient Coder
Full-Time Inpatient Medical CoderPosition Summary INNOVA Revenue Group is seeking an experienced, full-time Inpatient Medical Coder to provide remote inpatient coding services for our hospital clients. The coder will accurately code acute-care inpatient records while meeting established quality, productivity, turnaround-time, compliance, and communication standards. This is a full-time employee position with benefits. Employment Status and Benefits
- Full-time, benefited employee position
- Fully remote work environment
- Competitive compensation
- Medical, dental, and vision insurance
- Paid time off and company-observed holidays
- Retirement benefits, if applicable
- Employer-required payroll tax contributions, unemployment insurance, and workers’ compensation coverage
- Eligibility and coverage are subject to the terms of INNOVA Revenue Group’s benefit plans and company policies
Primary Responsibilities
- Review and accurately code acute-care inpatient medical records using ICD-10-CM, ICD-10-PCS, MS-DRG, and all applicable coding guidelines.
- Assign principal and secondary diagnoses, procedures, and present-on-admission indicators in accordance with Official Coding Guidelines, UHDDS requirements, and payer regulations.
- Ensure accurate MS-DRG assignment and appropriate capture of CCs, MCCs, quality-reporting elements, and other reimbursement-related information.
- Meet established client turnaround times and productivity standards.
- Identify documentation deficiencies and submit compliant physician queries when appropriate.
- Maintain current knowledge of CMS regulations, Coding Clinic guidance, payer requirements, and coding updates.
- Participate in quality reviews, team meetings, training, and educational sessions as required.
- Cooperate with internal and client audits and complete corrective education when necessary.
- Maintain strict confidentiality and comply with all HIPAA privacy and security requirements.
- Promptly report system, workflow, documentation, or access issues that could affect productivity, coding accuracy, or client satisfaction.
- Perform other coding-related duties as assigned.
Minimum Qualifications
- Minimum of three years of recent acute-care inpatient coding experience.
- Current AHIMA coding credential required.
- CCS credential strongly preferred; RHIA, RHIT, or another applicable credential may be considered based on experience and client requirements.
- Thorough knowledge of ICD-10-CM, ICD-10-PCS, MS-DRG assignment, Medicare reimbursement methodologies, and inpatient coding regulations.
- Experience working with electronic health record systems such as Epic or Meditech.
- Strong analytical, organizational, critical-thinking, and communication skills.
- Ability to work effectively and independently in a remote environment while remaining responsive to management and team members.
- Ability to maintain coding credentials and complete all required continuing education.
Performance Expectations The Inpatient Medical Coder is expected to:
- Maintain a minimum coding accuracy rate of 95%, as measured through internal and client quality audits.
- Meet or exceed established productivity and turnaround-time standards.
- Maintain a reliable, consistent full-time work schedule.
- Respond to emails, telephone calls, Microsoft Teams messages, and other business communications within 24 hours during the normal business week.
- Attend required meetings, training sessions, and educational activities.
- Promptly notify management of any issue that may affect attendance, productivity, turnaround times, coding quality, or client satisfaction.
- Cooperate fully with internal and client quality audits, performance-improvement plans, and corrective education.
- Maintain active coding credentials and complete all required continuing education.
- Accurately record working time and follow all INNOVA Revenue Group attendance and timekeeping policies.
Compliance Requirements The employee must comply with:
- HIPAA Privacy and Security Rules
- CMS regulations
- Official ICD-10-CM and ICD-10-PCS Coding Guidelines
- AHIMA Standards of Ethical Coding
- Federal and state privacy and security requirements
- Client-specific policies and procedures
- INNOVA Revenue Group’s confidentiality, security, attendance, quality, and workplace policies
Work Schedule and Environment
- Full-time, fully remote employee position.
- Regular and dependable attendance is required.
- Work hours and schedules will be established based on company and client operational needs.
- The employee must be available during assigned working hours and meet all required deadlines and turnaround times.
- INNOVA Revenue Group will provide or approve the equipment and system access necessary to perform assigned duties, consistent with company policy.
- The employee must maintain a private, secure, and HIPAA-compliant remote workspace.
- Occasional schedule adjustments, overtime, weekend work, or holiday coverage may be required based on client needs and must comply with applicable wage-and-hour laws.
Professional Standards Employees representing INNOVA Revenue Group are expected to conduct themselves professionally, communicate respectfully with clients and team members, safeguard confidential information, and consistently provide high-quality coding services that reflect INNOVA’s commitment to accuracy, integrity, compliance, and excellence. Equal Employment Opportunity INNOVA Revenue Group is an equal opportunity employer. Employment decisions are made without unlawful discrimination based on any status protected by applicable federal, state, or local law.