Overview • Provide expert inpatient coding services in a remote contract role, ensuring compliance with healthcare regulations and industry standards. • Interpret and apply advanced coding guidelines to support accurate claims processing and provider reimbursement strategies. • Conduct detailed audits and reviews of medical records to ensure coding accuracy and adherence to compliance requirements. • Collaborate with healthcare teams to enhance coding practices and improve documentation standards. • Adapt to evolving industry demands to maintain efficiency and compliance in coding practices. • Utilize health data analytics to inform reimbursement strategies and policy decisions effectively. • Contribute to the development of clinical classification and reimbursement guidelines for provider contracts. Key Responsibilities & Duties • Accurately assign diagnoses and procedures within medical records using established coding standards and guidelines. • Monitor and implement regulatory updates to ensure compliance with coding guidelines and healthcare regulations. • Conduct audits to validate coding accuracy and compliance with healthcare regulations and standards. • Address claim denials and rejections, providing actionable recommendations for resolution and improvement. • Develop and implement policies to enhance coding quality and operational efficiency across departments. • Generate statistical reports on health information management compliance issues for organizational review. • Provide training and mentorship to staff on coding and documentation best practices and standards. • Support ICD-10-CM and ICD-10-PCS coding across various healthcare departments and specialties. Job Requirements • Bachelor of Science degree in a relevant field is required for this role. • Certified Coding Specialist (CCS) certification is mandatory for consideration. • Minimum of 5 years of inpatient coding experience in a healthcare setting is essential. • Proficiency with encoder and electronic medical record (EMR) systems is required. • Strong organizational, interpersonal, and communication skills are necessary for success. • Knowledge of denials management and coding compliance is preferred for this position. • Ability to manage multiple projects in a dynamic, fast-paced environment is crucial. • Experience in developing and implementing coding policies and procedures is advantageous.