<p>Join our team as a <strong>Remote Inpatient Coding Specialist</strong> and play an essential role in ensuring accurate medical coding and billing processes. As a subject matter expert, you will use your knowledge of ICD-10-CM, ICD-10-PCS, HCPCS, NCCI, CMS, and CMG coding standards to review appeals and denials. Your expertise will help substantiate coding principles, address potential billing and coding concerns, and maintain high-quality standards in documentation. This is a fully remote position.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am -5p EST with flexibility</p><p><br></p><p>Responsibilities:</p><ul><li>Apply medical coding principles and industry guidelines objectively during appeals and denial review processes.</li><li>Leverage knowledge of ICD-10-CM, ICD-10-PCS, HCPCS, NCCI, CMS, and CMG to identify, analyze, and resolve billing and coding issues.</li><li>Assess quality concerns by verifying adherence to regulatory requirements and best practices.</li><li>Participate in client system education to gain familiarity with specific platforms and workflows.</li><li>Ensure all appeals are accurately supported by clinical documentation, coding/CDI guidelines, and regulatory standards.</li><li>Collaborate with clients and internal stakeholders to clarify documentation and coding requirements.</li></ul>

<ul><li>MIN 5 years of coding experience as a direct contributor </li><li>MIN 1 year of specific Inpatient/Facility coding experience </li><li>Experience with medical coding appeals and denials highly preferred </li><li>Strong understanding of healthcare regulatory standards and quality assurance principles.</li><li>Demonstrated proficiency in ICD-10-CM, ICD-10-PCS, HCPCS, NCCI, CMS, and CMG coding systems.</li></ul>

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