Inpatient Facility Coder - Remote (US)

Type: Contract, remote within the United States | Location: Remote, United States | Positions: 3 | Term: 12-month base period from November 1, 2026, with one possible option year | Start: contingent on contract award

The role

Our client is a large tertiary health system in the Great Lakes region whose health information management program spans inpatient, outpatient, and surgical care across a wide range of medical specialties. The system is investing in a dedicated coding team of sixteen credentialed professionals, and this is one of three inpatient facility seats on that team.

You will code inpatient facility encounters end to end: reading provider documentation, assigning and sequencing ICD-10-CM and ICD-10-PCS codes, and querying providers when the record is unclear. Your work feeds directly into the system's revenue integrity and compliance posture, and accuracy is measured - the program standard is 95% or better, audited by code set.

This position requires U.S. citizenship, and all work must be performed from within a U.S. jurisdiction. Successful completion of a background investigation is required before starting.

What you will own

• Coding inpatient facility records in ICD-10-CM and ICD-10-PCS, with correct sequencing, against a daily productivity standard of approximately three inpatient records
• Reviewing provider documentation for completeness and issuing provider queries through the client's query process when documentation is unclear, incomplete, or conflicting - and closing every query within 30 days of discharge
• Completing initial coding within five calendar days of assignment, holding the program's 95%+ timeliness goal
• Abstracting medical, surgical, laboratory, pharmaceutical, radiologic, and demographic data from the record, including unusual diagnoses and procedures not clearly listed in code books
• Reviewing special-authority record flags and referring cases to utilization review when appropriate
• Maintaining a personal coding accuracy rate of 95% or better, measured separately for ICD-10-CM/PCS assignment

What we require

• An active AHIMA credential (RHIT, RHIA, CCS, or CCS-P) or AAPC CPC, maintained throughout the engagement, with the baseline ICD-10 continuing-education units your credentialing body requires
• Two years of continuous professional coding experience in a health system comparable in size and complexity to a large tertiary medical center
• Completion of an accredited coding certificate or HIM/HIT program, with formal training in anatomy and physiology, medical terminology, disease processes, pharmacology, and reimbursement methodologies
• U.S. citizenship and fluent spoken and written English
• Eligibility to pass a background investigation and exclusion-list screening

What will set you apart

• Experience on current-generation cloud EHR and encoder platforms, and comfort working transitional workflows on legacy systems

Work environment

Remote-first: work is performed from your own workspace over the client's secure VPN, with occasional on-site work only by mutual agreement. All personnel must be physically located in a U.S. jurisdiction while working.

Hours and coverage

The program runs 6:00 a.m. to 6:00 p.m. Monday through Friday, with your schedule set inside that window. Coverage matters to this client: the team maintains overlap for handoffs and coverage during absences.

Compliance and credentialing

Immunization documentation (MMR, hepatitis B, varicella, TB screening, annual flu) and participation in annual privacy and compliance training are required. The client maintains a competency file for each coder covering certifications, experience, and completed training.

Location

Remote (U.S.)

Why candidates will be interested

A two-year remote engagement on a sixteen-person coding team, with clear published productivity and accuracy standards, structured provider-query workflows, and your required coding CEUs funded as part of the engagement rather than out of your own pocket.