Job Description

Pride Health is looking for a Medical Coder (Certified Coding Specialist) to support our client’s medical facility, which is 100% remote . This is a great role with a 4+ month contract to hire with the possibility of extension and a great way to start working with a top-tier healthcare organization! It's an 100% remote

Job Title: Medical Coder (Certified Coding Specialist)

Rate: $20 to 26/hr. (Depends upon Years of experience)

Duration: 4+month contract to hire (Depends on performance)

Shift: 1st Shift

Location: Hartford, CT (100% REMOTE)

Position Overview:

We are seeking an experienced Certified Coding Specialist (CCS) to join our team in a remote position, with the potential for temp-to-hire. This role involves reviewing inpatient clinical documentation to assign accurate diagnostic and procedural codes for statistical reporting, regulatory compliance, and reimbursement purposes. The ideal candidate will have at least 3 years of progressive experience in coding, with expertise in high-dollar and complex cases, including interventional cardiology, major transplants, spinal fusions, and more.

Key Responsibilities:

• Review inpatient clinical documentation to determine the appropriate assignment of alpha-numeric diagnosis/procedure codes and Diagnosis Related Groups (DRGs).
• Code high-dollar and multifaceted accounts, such as interventional radiology, cardiovascular surgeries, major transplants, neurovascular surgeries, and spinal fusions.
• Analyze medical records and assign ICD-10-CM (diagnostic) and ICD-10-PCS (procedure) codes using Computer Assisted Coding (CAC) software and other reference materials.
• Ensure all coding aligns with the Uniform Hospital Discharge Data Set (UHDDS) and official coding guidelines.
• Mentor and support other coders advancing to more complex cases.
• Collaborate with clinical documentation specialists (CDS) to ensure appropriate DRG assignment for compliance and reimbursement purposes.
• Resolve coding issues daily, including reviewing edits and clarifying ambiguous or missing documentation with attending physicians.
• Meet revenue cycle goals and adhere to departmental KPIs and productivity standards.
• Maintain compliance with departmental coding procedures, quality standards, and ethical coding guidelines set by the American Health Information Management Association (AHIMA) and American Association of Procedural Coders (AAPC).

Qualifications:

Education

Associate degree or equivalent experience.

Certification

Certified Coding Specialist (CCS) must be maintained.

Experience :

Minimum of 3 years of progressive experience in coding, with extensive knowledge in inpatient coding for complex cases (e.g., interventional radiology, cardiology, neurovascular surgeries).

Skills :

• Strong knowledge of ICD-10-CM and ICD-10-PCS codes.
• Experience with coding software (Computer Assisted Coding - CAC) and encoder systems.
• Ability to analyze clinical documentation and assign accurate codes.
• Excellent communication skills for collaborating with CDS, physicians, and other departments.
• Ability to meet coding productivity and quality standards.

Benefits

Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.

Equal Opportunity Employer

As a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal-opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.

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