Inpatient Pediatric Medical Coder

Accountabilities

• Review inpatient pediatric medical records and diagnostic documentation to accurately assign ICD-10-CM and ICD-10-PCS diagnosis and procedure codes.

• Code a broad range of inpatient accounts, including Medicare and non-Medicare cases, surgical, medical, cardiac, maternal/newborn, and trauma cases.

• Apply current coding regulations, official coding guidelines, Coding Clinic guidance, facility requirements, and third-party billing standards.

• Review charts for complete and appropriate documentation and submit physician queries when information is conflicting, ambiguous, incomplete, or clinically significant.

• Maintain a minimum coding accuracy target of 95% while meeting established productivity expectations, including an average of approximately two inpatient charts per hour.

• Work assigned coding and pending queues daily and ensure charts are coded or appropriately pended within required turnaround times.

• Review quality-assurance queues, communicate corrections, and collaborate with internal quality teams to maintain facility-specific standards.

• Identify and communicate charts requiring rebilling and coordinate corrections with the appropriate facility teams.

• Respond accurately and professionally to coding and billing questions from physicians and hospital stakeholders within established service levels.

• Collaborate with facility and internal IT teams to troubleshoot system issues and maintain effective use of coding and client platforms.

• Keep client portals, email, timekeeping, and billing systems current and accurate throughout the workday.

• Maintain HIPAA-compliant work practices, protect patient privacy, and follow all applicable facility and organizational policies and procedures.

• Maintain required professional credentials and complete assigned continuing education and coding certification requirements.

• Escalate coding discrepancies, operational issues, downtime, or potential delays promptly to administrative and supervisory teams.

Requirements

• High school diploma, GED, or equivalent education.

• At least 5 years of experience with inpatient ICD-10-CM and ICD-10-PCS coding.

• At least 1 year of dedicated inpatient pediatric coding experience.

• Current professional certification through one of the following: RHIA, RHIT, CCS, CIC, or CPC.

• Strong working knowledge of ICD-10-CM, ICD-10-PCS, official coding guidelines, Coding Clinic guidance, CMS requirements, and applicable governmental and third-party regulations.

• Demonstrated ability to accurately interpret complex clinical documentation and translate medical information into appropriate codes.

• Strong understanding of inpatient coding, documentation requirements, reimbursement considerations, and compliance standards.

• Excellent attention to detail with the ability to balance coding accuracy, productivity, and turnaround requirements.

• Strong written and verbal communication skills, including the ability to communicate effectively with physicians, hospitals, coding teams, and supervisors.

• Ability to work independently in a fully remote environment while collaborating effectively with distributed teams.

• Strong accountability, professionalism, organization, and commitment to patient privacy and data security.

• Experience with Epic is preferred.

• Ability to adapt to changing processes, collaborate constructively, and contribute to a culture focused on quality, service, and continuous improvement.

Benefits

• Annual salary range: $59,000–$98,000, with actual compensation based on experience, skills, training, certifications, and organizational needs.

• Full-time, 100% remote work with no travel required.

• Medical, prescription, dental, and vision insurance.

• Health Savings Account and Flexible Spending Account options.

• 401(k) retirement plan.

• Basic and supplemental life insurance.

• Short-term and long-term disability coverage.

• Personal and family sick time and company-paid holidays.

• Parental leave.

• Potential eligibility for a discretionary variable incentive bonus.

• Tuition reimbursement and professional development opportunities.

• Skills development and certification support.

• Employee referral program.

• Corporate-sponsored events and community outreach opportunities.

• Emergency backup childcare program.