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Coder III – Hospital Inpatient (Remote) in USA

Remote, USA Full-time Posted 2025-11-03
Coder III - Hospital Inpatient (Remote) - Cleveland Clinic - USA - work from home job Company: Cleveland Clinic Job description: At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One. Job Title Coder III - Hospital Inpatient (Remote) Location Cleveland Facility Remote Location Department HIM Coding-Finance Job Code U99927 Shift Days Schedule 7:00am-3:30pm Job Summary Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. The Coder III position is dedicated to either hospital inpatient or hospital outpatient coding. Codes and abstracts clinical information from inpatient or outpatient charts for the purpose of reimbursement, research, and compliance with federal regulations and other agencies utilizing established coding principles and protocols. Inpatient: Identifies, reviews, and assigns complex ICD-10-CM codes, PCS, POA and PSI indicators for inpatient charts. Outpatient: Identifies, reviews, and assigns complex ICD-10-CM codes and CPT for ambulatory surgery and observation charts. The ideal future caregiver is someone who: - Has strong critical thinking and analytical skills. - Pays close attention to detail. - Is dedicated to continuous learning and education. This opportunity allows you to be cross trained in all our multi-specialties so that you can enhance your skills and advance your career. At Cleveland Clinic, we know what matters most. That's why we treat our caregivers as if they are our own family, and we are always creating ways to be there for you. Here, you'll find that we offer: resources to learn and grow, a fulfilling career for everyone, and comprehensive benefits that invest in your health, your physical and mental well-being and your future. When you join Cleveland Clinic, you'll be part of a supportive caregiver family that will be united in shared values and purpose to fulfill our promise of being the best place to receive care and the best place to work in healthcare. Job Details Responsibilities: • Clarifies complex discrepancies in documentation and coding and assures accurate ICD-10-CM and PCS coding/abstracting assignment for inpatient to expedite the billing process and to facilitate data retrieval for physician access and ongoing patient care. • Clarifies complex discrepancies in documentation and coding and assures accurate ICD-10-CM and CPT coding/abstracting assignment for outpatient surgery to expedite the billing process and to facilitate data retrieval for physician access and ongoing patient care. • Follows up on complex coding of medical records as a result of internal or external reviews which have identified Coding or DRG discrepancies. • Supports special studies in relation to coding and abstracting information according to policies and procedures. • Maintains knowledge and skills via written coding resources, clinical information, videos, etc. • Meets or exceeds productivity and quality standards and established department benchmarks. • Extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory reports, (including Pathology), procedure records, specialty forms, etc. • Determines complex code assignment pertinent to diagnostic workups, surgical techniques, advanced technology and special services. • Identifies medical and surgical complications and untoward events for accurate MS-DRG / APR-DRG for inpatient charts or APC assignment for outpatient charts. • Other duties as assigned. Education: • High School Diploma is required. Certifications: • Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) is required and must be maintained. The Certified Outpatient Coder (COC) by American Academy of Professional Coders will be considered for the outpatient Coder III role. Complexity of Work: • Coding assessment relevant to the work may be required. • Requires critical thinking skills, decisive judgment, and the ability to work with minimal supervision. • Must be able to work in a stressful remote environment and take appropriate action. Work Experience: • A minimum of two years of experience abstracting, identifying, reviewing, and assigning complex ICD-10-CM, PCS codes, POA and PSI indicators, surgical complications for inpatient charts or CPT for outpatient charts is required. • Successful completion of the Cleveland Clinic Coder Trainee Program with a focus on moderately complex cases may offset the experience requirement. Physical Requirements: • Ability to perform work in a stationary position for extended periods. • Ability to travel throughout the hospital system. • Ability to work with physical records, such as retrieving and filing them. • Ability to operate a computer and other office equipment. • Ability to communicate and exchange accurate information. • In some locations, ability to move up to 25 lbs. Personal Protective Equipment: • Follows Standard Precautions using personal protective equipment. The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. All offers of employment are follwed by testing for controlled substances and nicotine. All new caregivers must clear a nicotine test within their 90-day new hire period. Candidates for employment who are impacted by Cleveland Clinic Health System's Smoking Policy will be permitted to reapply for open positions after one year. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. Please review the . Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities Expected salary: Location: USA Job date: Sun, 30 Jul 2023 03:07:21 GMT Apply for the job now! Apply tot his job Apply To this Job

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