Job Title Clinical Coder - Acute Care Location Charlotte, NC Duration Permanent Remote 100% Remote Responsibilities Reviews clinical documentation and diagnostic results to extract abstract data and apply appropriate ICD‑9‑CM/ICD10‑CM/PCS and CPT 4 codes for reimbursement, external reporting, research, regulatory compliance, medical necessity, CCI, NCCI, and other regulatory edits. Codes and abstracts high‑complexity medical records within Primary Enterprise acute care facilities. Identifies the appropriate principal diagnosis and procedure codes and all other secondary diagnoses and procedure codes in high‑complexity medical records. Assigns and presents Admission, Hospital Acquired Condition, and Core Measure Indicators for all diagnosis codes. Facilitates appropriate MS‑DRG for inpatient records and APC assignment for outpatient records using UHDDS and facility guidelines. Demonstrates technical competence using facility encoders in interfacing with hospital mainframe and/or EMR in on‑site or remote settings. Reviews charges and Evaluation and Management levels. Shows proficiency with Microsoft Office applications and required computer systems with minimal assistance. Abstracts coded data and other pertinent fields in the hospital electronic health record. Ensures accuracy of data input. Meets established quality and productivity standards. Facilitates peer review and training for all Acute Clinical Coders in the coding department. Provides support to management. Stays abreast of coding principles and regulatory guidelines related to inpatient and/or outpatient coding. Must be able to concentrate and sit for long periods while reviewing electronic health records; meets daily and weekly deadlines in a fast‑paced office or home environment. #J-18808-Ljbffr