Inpatient Medical Coder

Guidehouse is seeking an experienced Inpatient Medical Coder to join its team in a full-time, fully remote position.

The Inpatient Medical Coder will review clinical documentation, medical records, and diagnostic results to accurately assign appropriate ICD-10-CM diagnosis and ICD-10-PCS procedure codes. These codes will support billing, regulatory compliance, internal and external reporting, and other healthcare data requirements.

Working under the direction of the Coding Manager, the successful candidate will ensure that medical conditions and procedures are coded accurately and consistently according to ICD-10-CM Official Guidelines for Coding and Reporting, CMS requirements, and other applicable coding standards.

Key Responsibilities

• Perform accurate inpatient hospital coding across Medicare and non-Medicare accounts, including surgical, medical, cardiac, maternity, newborn, and trauma cases.
• Maintain up-to-date knowledge of ICD-10-CM, ICD-10-PCS, Coding Clinic guidance, government regulations, official coding guidelines, and third-party billing requirements.
• Ensure all documented patient services, diagnoses, conditions, and procedures are assigned the appropriate codes.
• Identify incomplete or insufficient documentation and take appropriate steps to obtain clarification according to facility procedures.
• Maintain a minimum coding accuracy rate of 95% while meeting established productivity expectations.
• Maintain an average productivity target of approximately two inpatient charts per hour, subject to client requirements and management guidelines.
• Follow all facility-specific coding policies, procedures, and documentation standards.
• Review and manage assigned pending queues daily.
• Complete GuideAudit review queues and ensure required corrections are properly communicated to the appropriate facility.
• Submit physician queries when medical records contain conflicting, unclear, or incomplete information regarding reportable conditions or procedures.
• Follow established physician query policies and Clinical Documentation Integrity (CDI) reconciliation procedures.
• Correct charts requiring rebilling and promptly communicate necessary changes to the facility.
• Immediately report system downtime or other issues that could affect required turnaround times.
• Collaborate with internal quality-control teams to maintain coding standards across assigned facilities.
• Respond accurately and promptly to coding and billing questions from physicians and hospitals.
• Code or appropriately pend assigned charts within the required 24-hour turnaround period.
• Notify administrative staff when circumstances prevent established turnaround requirements from being met.
• Collaborate effectively with coding and billing teams to support accurate reimbursement for properly documented services.
• Promptly report coding discrepancies, documentation concerns, or coding-principle issues to supervisors.
• Maintain professional communication in all workplace correspondence.
• Accurately record working and billing hours using designated company systems.
• Work with client and Guidehouse IT teams to resolve technical or system-related issues.
• Regularly review and use information provided through the Client Portal to support accurate coding and abstraction.
• Monitor company email regularly throughout working hours.
• Maintain all required professional certifications and credentials.
• Complete required continuing education and submit certificates within established deadlines.
• Maintain HIPAA-compliant workstations and protect patient confidentiality at all times.
• Follow all applicable Guidehouse and client policies, procedures, privacy requirements, and professional standards.

Required Qualifications

• High school diploma, GED, or equivalent qualification.
• At least five years of inpatient ICD-10-CM and ICD-10-PCS coding experience.
• Must hold at least one of the following professional credentials:
  • RHIA
  • RHIT
  • CCS
  • CIC
  • CPC

Preferred Qualifications

• Previous experience working with Epic.
• Excellent written and verbal communication skills.
• Strong sense of personal responsibility and professionalism.
• Ability to work collaboratively and respectfully with colleagues.
• Commitment to teamwork, innovation, customer service, and high-quality work.

Compensation

The annual salary range for this position is $59,000 to $98,000.

Actual compensation may vary depending on factors such as relevant skills, professional experience, training, certifications, licensure, security clearances, and organizational or business requirements.

Benefits

Guidehouse provides a comprehensive compensation and benefits package designed to support employees and their families. Benefits may include:

• Medical, prescription, dental, and vision insurance.
• Personal and family sick leave.
• Company-paid holidays.
• Potential eligibility for a discretionary incentive bonus.
• Parental leave.
• 401(k) retirement plan.
• Basic and supplemental life insurance.
• Health Savings Account (HSA).
• Healthcare, dental/vision, and dependent-care Flexible Spending Accounts.
• Short-term and long-term disability coverage.
• Tuition reimbursement.
• Professional development and learning opportunities.
• Skills development and professional certifications.
• Employee referral program.
• Company-sponsored events and community outreach initiatives.
• Emergency backup childcare program.

About Guidehouse

Guidehouse is committed to maintaining an inclusive workplace and providing equal employment opportunities in accordance with applicable laws and regulations. Qualified applicants are considered without unlawful discrimination based on protected characteristics, including veteran or disability status.

Guidehouse also considers qualified applicants with criminal histories where required by applicable fair-chance laws.

Applicants requiring reasonable accommodation during the recruitment process may contact Guidehouse Recruiting through the company’s official recruitment channels.

Candidates should be cautious of recruitment fraud. Legitimate recruitment communications should originate from authorized Guidehouse channels, and Guidehouse does not require candidates to pay fees or transfer money at any stage of its recruitment process.