Inpatient Pediatric Medical Coder

Job not on LinkedIn

🔥 18 hours ago

🇺🇸 United States – Remote

💵 $59k - $98k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Guidehouse

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2018

🏥 Healthcare

🎖️ Defense

📦 Logistics

💰 Grant on 2023-02

Healthcare • Defense • Logistics

Guidehouse is a global consultancy offering advisory, digital, and managed services across commercial and public sectors. It is purpose-built to support industries such as national security, financial services, healthcare, energy, and infrastructure. Guidehouse collaborates with leaders to navigate complexity and drives transformational changes that impact the future. Their expertise spans data analytics, digital technologies, risk management, and more, with a strong emphasis on sustainability and innovation.

📋 Description

• Review clinical documentation and diagnostic results to extract data and apply ICD-10 and CPT diagnosis codes • Code inpatient pediatric accounts, including Medicare/NonMedicare, surgical, medical, cardiac, moms/babies, and trauma cases • Code documented services and diagnoses according to ICD-10-CM Official Guidelines, CMS requirements, and mandated standard code sets • Seek proper documentation when services or diagnoses are incomplete or unclear • Maintain 95% coding accuracy and average productivity of 2 inpatient charts per hour • Work pending queues and GuideAudit review queues daily • Query physicians regarding conflicting, ambiguous, or incomplete medical-record information • Follow facility query policies and CDI reconciliation processes • Correct and communicate charts requiring re-bills daily • Report coder downtime immediately • Work with IQC staff to maintain facility quality standards • Answer physician and hospital coding or billing questions within eight hours • Code or pend every queued chart within 24 hours • Communicate coding discrepancies and problems to supervisors • Clock in and out of ADP and enter billing hours into PeopleSoft • Collaborate with client and Guidehouse IT departments to resolve system issues • Review and update Client Portal information for daily coding and abstraction • Check email at least every two hours during work hours • Complete Guidehouse continuing education and submit certificates • Maintain HIPAA-compliant workstations and patient privacy • Follow client and Guidehouse policies and procedures

🎯 Requirements

• High School Diploma/GED or equivalent • 5+ years of ICD-10-CM and ICD-10 PCS inpatient coding experience • 1 year of pediatric in-patient coding • Must hold one of the following credentials: RHIA, RHIT, CCS, CIC, or CPC • Working knowledge of ICD-10 PCS, governmental regulations, official coding guidelines, and third-party documentation and billing requirements • Ability to maintain 95% coding accuracy • Must maintain current professional credentials • Working knowledge of Coding Clinic Guidelines • HIPAA-compliant workstation and patient privacy compliance • Epic experience is nice to have

🏖️ Benefits

• Medical, Rx, Dental & Vision Insurance • Personal and Family Sick Time & Company Paid Holidays • Position may be eligible for a discretionary variable incentive bonus • Parental Leave • 401(k) Retirement Plan • Basic Life & Supplemental Life • Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts • Short-Term & Long-Term Disability • Tuition Reimbursement, Personal Development & Learning Opportunities • Skills Development & Certifications • Employee Referral Program • Corporate Sponsored Events & Community Outreach • Emergency Back-Up Childcare Program • Flexible benefits package