Are you an experienced Inpatient Facility Clinical Coder with strong DRG validation expertise? We're seeking a Senior Clinical Coder to join a collaborative clinical operations team supporting complex medical claims reviews and coding accuracy. This is a fully remote opportunity with long-term potential for permanent employment.
100% Remote
Salary: $80,000–$90,000 annually (based on approved work state and geographic location)
Full-time
What You'll Do Perform retrospective reviews of inpatient and outpatient medical claims
Validate DRGs and ensure accurate reimbursement
Apply ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding guidelines
Review claims for coding accuracy, compliance, and payment integrity
Prepare coding determinations and written review summaries
Identify coding discrepancies, quality concerns, and potential fraud
Serve as a coding subject matter expert for clinical and operational teams
Mentor and support fellow coding professionals
Research medical policies, coding regulations, and benefit guidelines
Escalate complex coding issues to Medical Directors when appropriate
Required Qualifications High School Diploma or GED
One of the following active certifications:
CCS (Certified Coding Specialist)
5+ years of clinical coding experience
3+ years of inpatient facility coding and/or inpatient claims processing
Strong knowledge of DRG validation and hospital/facility coding
Experience in a high-volume production environment
Ability to successfully complete a background investigation
Preferred Experience Managed Care or Health Insurance
Government healthcare programs
Medical claims review
Payment integrity
Clinical documentation improvement
Audit or coding quality review experience
Important This position focuses on hospital inpatient facility coding .
Candidates with only physician, outpatient, clinic, or professional fee coding experience (including CPC-only backgrounds) are unlikely to be a match unless they also possess significant inpatient facility coding and DRG validation experience.
If you're an experienced inpatient hospital coder looking for a fully remote opportunity with excellent long-term potential, we'd love to hear from you.
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