Clinical Coding Analyst (Remote)
Location: Remote in United States
Employment type: Full-time
Posted: 3 months ago
Why This Role Matters
The Clinical Coding Analyst plays a critical role in ensuring accurate reimbursement, regulatory compliance, and documentation integrity for healthcare clients. This position directly impacts hospital revenue performance, coding compliance, and quality metrics by identifying opportunities, mitigating risks, and supporting physician documentation improvement.
This role ensures that coding accuracy and revenue integrity are optimized while maintaining strict adherence to Medicare regulations and ICD-10 standards.
How You'll Contribute
Perform daily pre-bill chart reviews and communicate recommendations within 24 hours
Review electronic health records for revenue opportunities and coding compliance issues
Provide verbal reviews with physicians regarding MS-DRG recommendations and query opportunities
Upload and document case data into MS DRG Database accurately
Prepare reimbursement recommendations (increase, decrease, or informational)
Review and respond to client questions and rebuttals within required timelines
Review and appeal Medicare and third-party denials when appropriate
Analyze 30-Day Readmissions and Mortality quality measures for Medicare cohorts
Maintain system access across assigned client sites
Stay current with ICD-10-CM/PCS updates, AHA Coding Clinics, and Medicare regulations
Utilize internal coding tools (TruCode, CDocT)
Adhere to company policies and compliance standards
What Makes You a Great Fit
AHIMA credential: CCS or CDIP, or ACDIS credential: CCDS (Required)
AHIMA Approved ICD-10 CM/PCS Trainer (Preferred)
RHIT or RHIA credential (Preferred)
Minimum 7 years acute inpatient hospital coding, auditing, and/or CDI experience
Extensive ICD-10 CM/PCS knowledge
Experience with CDI programs preferred
Experience with EHR systems (Cerner, Meditech, Epic, etc.)
Prior remote work experience required
Strong analytical, communication, and organizational skills
Proficiency in Microsoft Word and Excel
Ability to work independently
Perks & Benefits
Flexible schedule within 7:30 AM – 6:00 PM EST
Two required daily 20-minute physician meetings
Company core hours: 8:00 AM – 5:00 PM EST/CST
Who We Are, What We Stand For
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To bridge the gap between companies and passionate talent.
Frequently Asked Questions
Is this Clinical Coding Analyst role fully remote in the US?
Yes, it’s a remote, full-time role based in the United States.
Do I need a CCS, CDIP, or CCDS credential to apply?
Yes, one of these credentials is required.
How many years of inpatient coding/CDI experience do I need?
At least 7 years of acute inpatient hospital coding, auditing, and/or CDI experience.
What EHR systems should I have experience with?
Experience with Cerner, Meditech, Epic, or similar EHRs is expected.
What tools will I use for coding and reviews?
You’ll use internal tools like TruCode and CDocT, plus Microsoft Word and Excel.
What are the work hours for this role?
Flexible within 7:30 AM–6:00 PM EST, with core hours 8:00 AM–5:00 PM EST/CST and two daily 20-minute physician meetings.
Will I work on MS-DRG reviews and denial appeals?
Yes, you’ll provide MS-DRG recommendations and review/appeal Medicare and third-party denials.
Are California residents eligible to apply?
No, the role is not hiring candidates residing in California.