• Reviews and abstracts clinical documentation from complex inpatient orthopedic and spine surgery records to assign accurate ICD-10-CM, ICD-10-PCS, DRG, POA, and discharge disposition codes. • Independently codes high-acuity inpatient orthopedic spine surgery cases including cervical, thoracic, and lumbar procedures, revisions, fusions, instrumentation, and neurological-related musculoskeletal procedures. • Provides real-time feedback and training for coding staff to improve coding quality and productivity. • Applies and validates accurate MS-DRG assignments while ensuring compliance with CMS, UHDDS, Official Coding Guidelines, and payer-specific requirements. • Identifies coding trends, documentation gaps, and reimbursement risks and communicates findings to leadership. • Maintains productivity and quality standards while managing high-volume and high-complexity inpatient workloads. • Serves as a coding resource and mentor to less experienced coders and assists with onboarding and education initiatives. • Participates in policy development, coding guideline interpretation, and implementation of regulatory updates. • Acts as a liaison between coding staff, leadership, and external stakeholders. • Supports coding audits, denials management, appeals, and quality improvement activities as assigned.

• Review clinical documentation to assign and sequence diagnostic and procedural codes • Validate MS-DRG calculations to accurately capture the diagnoses and procedures documented in the clinical record. • Perform documentation review and assessment for accurate abstracting of clinical data • Interact with client staff and providers as needed • Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials.

• Assigns appropriate codes to reflect all diagnoses and procedures extrapolated from physician and appropriate nursing documentation during a patient encounter according to the most current coding methodologies, including ICD-10-CM/PCS, resulting in appropriate reimbursement. • Abstracts required data to input into the Medical Center's computerized data base. • Converts all patient visits and encounters into appropriate DRG (Diagnosis Related Group) assignments in order to correctly submit the optimal reimbursement for each patient encounter coded. • Assists the IP Coding Manager in administrative duties such as assignment of coding work, analysis of the unbilled report, and other duties as assigned. • Maintains coding accuracy rate of 95% or better. • Maintains productivity standards set forth in Departmental Policies and procedures. • Reviews patient medical records and abstracts medical data that identifies all diagnoses and procedures. • Codes diagnoses, procedures, and appropriate modifiers from the medical record documentation using ICD-10-CM/PCS classification systems. • Enters coded/abstracted information in grouper, analyzes groupings, and assigns the appropriate grouper for appropriate and accurate reimbursement. • Utilizes hospital’s behavioral standards as the basis for decision making and to facilitate the hospital’s goals and mission.

Role Description We are partnering with a leading regional health system to bring on Professional Fee Medical Coders for a fully remote contract opportunity supporting a variety of hospitalist, surgical, and outpatient clinic specialties. - Role: Professional Fee Medical Coder - Location: 100% Remote - Contract Length: 6 months with extensions/renewals - Start Date: Mid-June target What You'll Be Doing: - Perform professional fee coding across a variety of specialties including: - Hospitalist - Surgery - Outpatient Clinic - Additional specialty areas as needed - Ensure accurate and timely coding in accordance with organizational and regulatory standards - Support multiple coding workstreams and record types - Maintain strong coding quality in a QA-monitored environment - Collaborate effectively within a fully remote coding team Qualifications - 3+ years of Professional Fee coding experience - Experience supporting multiple profee specialties preferred - Strong background in hospitalist, surgical, and/or outpatient clinic coding - Ability to work across multiple coding areas rather than a highly siloed specialty - Strong understanding of coding compliance and documentation standards - Preferred: - Experience in larger health systems or high-volume environments - CPC, CCS-P, RHIT, and/or RHIA credentials preferred Requirements - Epic experience preferred - Experience with remote coding environments and QA workflows Performance Expectations - Accuracy: 95%+ - OP Clinic productivity target: ~15-20 encounters/hr - Productivity expectations for hospitalist/surgical coding are specialty-dependent