Medical Coder

1. Job Overview:

Pena4 Inc is hiring a Medical Coder for an Inpatient Medical Coder (CCS certified) assignment. The position is 100% REMOTE and is offered as W2 Regular Employment. The role demonstrates proficiency in coding all types of inpatient and outpatient accounts using International Classification of Disease (ICD-10-CM and PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding.

Why Join Us / Role Purpose:

• Work remotely as part of a coding team supporting inpatient and outpatient coding needs.
• Contribute to accurate coding, DRG assignment, and departmental/client goals while pursuing continuing education and maintaining coding standards.

2. Key Responsibilities:

• Examines the complete medical record to accurately determine the principal & secondary diagnoses, procedures, and complications.
• Accurately sequences diagnoses & procedures, maintains 95% accuracy.
• Strives to obtain the optimal DRG assignments on each record coded with assistance of computer system.
• Demonstrates a consistent level of performance; strives to maintain a steady level of productivity and quality.
• Appropriately holds accounts when more information is required for accurate code/DRG assignment. Contact appropriate staff, leadership, or medical staff as needed.
• Regularly reviews coding literature, keeps current on new or revised coding guidelines, shares information with colleagues, determined by colleagues’ feedback and supervisor observation.
• Completes all assignments as directed by management in a conscientious and reliable manner.
• Expresses interest in and pursues continuing education.
• Works as a team member to meet department and client specific goals.
• Performs all related duties or special projects as assigned/required.
• This description is not intended to contain an exhaustive list of duties and responsibilities that the coder may be required to complete. There may be other duties as assigned.

3. Required Qualifications:

• CCS certificate is required.

4. Required Skills:

• At least 5 years of IP PCS Coding experience, required.
• System Experience: Cerner, Power Chart, 3M, EPIC.
• Utilizes International Classification of Disease (ICD-10-CM and PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding.
• Ability to achieve and maintain 95% coding accuracy (as stated under responsibilities).

5. Preferred Qualifications:

• At least 3 years OP (outpatient) coding experience, preferred.

6. Experience Requirements:

• At least 5 years of inpatient (IP) PCS coding experience is required; at least 3 years of outpatient (OP) experience is preferred.

7. Additional Job Information:

• Employment type: W2 Regular Employment (Full-time, weekdays, full-time hours).
• Work mode: 100% REMOTE.
• Schedule: Weekdays, full-time hours.
• Shift: Regular day shift hours.
• Start Date: Immediately.
• Locations: Milwaukee, WI; Milwaukee County, WI; Wisconsin, United States (position is 100% remote).
• Application instructions: To be considered, IP and/or OP assessment test will be required to complete and pass a coding assessment test. Complete assignments and any testing as directed by management.