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Location
AZ
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WI
WV
Remote Type
100% Remote
Employment Type
Employee
Employment Classification
Regular
Time Type
Full time
Work Shift
(not specified)
Total Weekly Hours
40
Additional Locations
(none specified)
Job Information
Please note all candidates must complete & pass onsite testing in Marlton, NJ prior to an interview.
Summary
Codes and abstracts hospital medical records (including Inpatients, Observation, Outpatient Surgery, Invasive Outpatients, and Emergency Department) for diagnostic and procedural coding.
Utilizes federal and state procedures and guidelines to assure accuracy of coding and abstracting and productivity standards.
Collaborates with medical staff and clinical documentation improvement (CDI) staff to clarify documentation.
Maintains performance in accordance with corporate compliance requirements as it pertains to the coding and abstracting of medical records, as well as Diagnosis Related Group (DRG) assignment.
Position Responsibilities
Accurately review each record and use ICD‑10‑CM, ICD‑10‑PCS, CPT‑4, and encoder to code all significant diagnoses and procedures according to AHA, AHIMA, UHDDS hospital‑specific guidelines and rules/conventions.
Sequence the principal (or first‑listed) diagnosis and principal procedures according to documentation in the medical records and UHDDS definitions.
Utilize ongoing knowledge and reference material regarding DRGs to validate DRG assignments.
Utilize written federal and state regulations and guidelines regarding definition and prioritization of abstract data elements to assure uniformity of the database.
Abstract required data (Inpatient, Observation, Outpatient Surgery, Invasive Outpatients, and Emergency Department) into the computer system according to procedure, using appropriate equipment and processes for efficient coding and abstracting.
Participate in maintaining DNB and accounts receivable goal.
Maintain department‑level competencies and participate in performance improvement activities.
Position Qualifications (Required / Experience Required)
Minimum of two years inpatient records coding experience or equivalent.
Ability to perform functions in a Microsoft Windows environment.
Ability to be detail‑oriented and perform tasks at a high level of accuracy.
Ability to make sound decisions.
Demonstrate good communication and teamwork skills.
Previous experience with an electronic legal health record system preferred.
Required Education
High School Diploma or GED required.
Knowledge of Anatomy & Physiology/Medical terminology required.
Coding education preferred or equivalent in years of experience.
Training / Certifications / Licensure
AHIMA Certification: Certified Coding Specialist (CCS) required for all employees hired after 10/1/2025.
Compensation
Non‑CCS‑Certified Hourly Rate: $26.22 – $40.65
CCS Hourly Rate: $28.63 – $44.54
The actual salary/rate will vary based on applicant experience, internal equity, and alignment with market data.
Benefits
Medical, prescription, dental, and vision insurance
Health and dependent care flexible spending accounts
403(b) (401(k) subject to collective bargaining agreement)
Paid time off and paid sick leave as provided under state and local laws
Short‑term disability and optional long‑term disability
Colleague and dependent life insurance and supplemental life and AD&D insurance
Tuition assistance
Employee assistance program including free counseling sessions
Eligibility for benefits is governed by the applicable plan documents and policies.
For more benefits information, click here.
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