Inpatient Medical Coder (Remote Nationwide)

at Signature Performance, Inc. in Portland, Maine, United States

Job Description

This is a remote based position. Applicants can be located nationwide








Job Description



Who We Are:

Signature Performance is working hard at lowering healthcare administrative costs for federal government agencies, payers, and providers. At Signature, our mission is to improve the health of our clients' business and making the lives of the people we work with better. We do that by leading with our values of Passion, Courage, Integrity and Respect in all interactions.

What We Offer:

Signature believes in fully developing each one of our Associates. We deliver a performance-driven atmosphere with competitive pay and bonus structure, world-class training and development classes, resources, and events, an award-winning culture to thrive in, and so much more.

Tuition Assistance Program

401(k) program with employer contributions

Comprehensive health insurance

Competitive Paid Time Off for Sick and Vacation Time

No-cost annual flu shots

A hybrid work-from-home and/or on-campus work plan

Job Description:

We are excited to be adding a new member to our team! Under the general direction of the Inpatient Coding Supervisor, the Medical Coding Specialist - Inpatient will have responsibility of reviewing documentation in the electronic medical record and assigning and sequences ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes, in accordance with the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and in compliance with ICD-10 Official Coding Guidelines and other regulatory requirements. In addition, you will have the following responsibilities:

Review, analyze and interpret the entire electronic medical record for the current admission to identify all diagnoses and procedures documented during the admission.

Determine and assign the principal and significant secondary ICD-10-CM diagnosis codes, in addition to present on admission indicators, and ICD-10-PCS procedure codes, using official coding guidelines and knowledge of anatomy and physiology, pharmacology and pathophysiology/disease processes.

Identify cases with clinical indicators that may require provider documentation clarification and/or specificity to accurately assign codes; collaborate with CDIS team as part of the clinical documentation validation and physician query workflows.

Analyze code assignment and sequence to assure proper DRG assignments; sequence codes in compliance with ICD-10 Official Coding Guidelines, Uniform Hospital Discharge Data Set (UHDDS) and other regulatory requirements to accurately assign the DRG.

Analyze the medical record documentation for complications and comorbidities

Analyze medical record documentation for optimum severity of illness and risk of mortality scores

Confirm Admission-Discharge-Transfer (ADT) information and correct when necessary

Basic Qualifications:

High School Diploma and graduate of medical coding program

2+ years of concurrent inpatient coding experience at an academic medical center with level I trauma experience

Preferred Qualifications:

Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS)


Knowledge of, but not limited to, current Official Coding Guidelines and methodologies, MS-DRG, APR-DRG, ICD-10-CM/PCS coding guidelines and conventions.

Extensive knowledge of medical terminology, anatomy and pathophysiology, pharmacology and ancillary test results

Ability to learn complex medical and coding concepts encountered in an Academic Medical Center.

Knowledge of coding systems and regulatory requirements of Inpatient Prospective Payment System (IPPS)

Knowledge of encoder software and other coding applications/tools. Prefer EPIC and 3M 360 experience.

Strong communication skills (interpersonal, verbal and written).

Strong organizational and analytical thinking skills

Demonstrates critical thinking skills, and ability to interpret, assess, and evaluate provider documentation.

Proficient with Microsoft Office applications (Outlook, Word, Excel)

Self-motivated and able to work independently without close supervision. This position has the potential to work remotely.

Must be able to work flexible hours which may include weekends and or holidays as required to meet business needs.

Additional Information:

Applicants must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Visa sponsorship is not available for this position.

This position will require you to have the ability to effectively operate the current computer system, telephone system, and other office machines such as copier and fax machines.

You will be responsible for conducting business and personal affairs in a manner that is always a credit to the company. Must maintain a good credit rating while... For full info follow application link.


Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled

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Job Posting: 646485

Posted On: Nov 29, 2021

Updated On: Dec 08, 2021