Non-Clinical – Health and Information Management/Inpatient Coder

Shift: Mid 5×8-Hour (14:00 – 20:00)

Description:

Facility: University of Maryland Medical System (UMMS)
Location: Remote (University of Maryland Corporate Offices)
City/State: Baltimore, Maryland
Position Type: Contract / Travel
MSP/VMS: *** Healthcare MSP
Department: Health Information Management (HIM)
Schedule: Full-time

JOB SUMMARY:
The Inpatient Coder is responsible for reviewing inpatient medical records and assigning accurate ICD-10-CM and ICD-10-PCS codes in accordance with official coding guidelines, regulatory requirements, and UMMS policies. This position supports timely and accurate billing, reimbursement, and compliance and is fully remote.

ESSENTIAL RESPONSIBILITIES:

• Review inpatient medical records to assign appropriate ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes
• Ensure coding accuracy and compliance with AHIMA, AHA, CMS, and official coding guidelines
• Abstract clinical data accurately into the coding system
• Meet established productivity and quality benchmarks
• Identify documentation issues and work with CDI or providers as appropriate
• Maintain confidentiality and comply with HIPAA regulations
• Participate in audits, education, and quality improvement initiatives as required
• Stay current with coding updates, regulatory changes, and payer requirements

REQUIRED QUALIFICATIONS:

*Active coding certification (RHIT, RHIA, or CIC) required
*Minimum of 4 years of recent inpatient hospital coding experience required
*Minimum of 3 years ICS-10-CM/ICD-10-PCS coding and abstracting experience with a Level 1 trauma and rehab hospital or 4 years of experience with coding inpatient hospital medical records required
*Strong knowledge of ICD-10-CM and ICD-10-PCS coding guidelines
*Experience coding complex inpatient hospital cases
*Proficiency with encoder and EHR systems preferred
*Ability to work independently in a remote environment (must have their own equipment)

WORK ENVIRONMENT:

*Fully remote position
*Must have reliable internet and a secure work environment
*Must be based in EST or CST hours

**AGENCIES MUST HAVE AN AUDITOR AVAILABLE ON STAFF TO AUDIT THE WORK DURING THE PROBATIONARY PERIOD**