Remote Inpatient Coding

Guidehouse Inc.

Job Overview

Location

US - Remote (Any location)

Job Type

Full-time

Full Job Description

📋 Description

• The Remote Inpatient Coding role at Guidehouse Inc. is critical to ensuring accurate, compliant, and timely billing for inpatient hospital services, directly impacting revenue cycle integrity and regulatory adherence for healthcare clients across the United States.
• This position plays a vital role in supporting Guidehouse’s mission to deliver high-value consulting and technology solutions to healthcare organizations by maintaining coding excellence that drives financial performance and reduces audit risk.
• Day-to-day responsibilities include maintaining current expertise in ICD-10-CM/PCS and CPT coding systems, federal and state regulations, and official coding guidelines from CMS and AHA.
• The coder will review and assign accurate diagnosis and procedure codes to all inpatient services documented in patient charts, ensuring compliance with billing standards and third-party payer requirements.
• When documentation is incomplete or ambiguous, the coder will initiate timely physician queries or collaborate with clinical documentation improvement (CDI) teams to obtain necessary clarification per facility protocols.
• Achieving and sustaining a minimum 95% coding accuracy rate is required, while meeting productivity benchmarks of approximately 3 inpatient charts per hour, adjusted per client agreements and communicated by management.
• The role demands proficiency in major electronic health record (EHR) systems including EPIC, Cerner, Optum, and 3M Encoding System to efficiently navigate patient records and apply codes.
• A strong foundation in anatomy, physiology, and medical terminology is essential to correctly interpret clinical documentation and assign appropriate codes.
• Advanced understanding of ICD-10-CM and ICD-10-PCS coding clinics, including quarterly updates and official guidance, is required to ensure ongoing compliance.
• The coding team at Guidehouse operates as a specialized, remote-first unit focused on delivering precision coding services to acute care hospitals, health systems, and academic medical centers nationwide.
• Collaborating with a national network of certified coders, the team emphasizes quality, consistency, and continuous improvement through peer audits, feedback loops, and adherence to Guidehouse’s quality management framework.
• Guidehouse fosters a culture of integrity, innovation, and inclusion, where coding professionals are valued as key contributors to healthcare financial integrity and operational excellence.
• In this role, the individual will deepen their expertise in complex inpatient coding scenarios, including DRG validation, POA (Present on Admission) determination, and complex procedure coding.
• There is significant opportunity to expand knowledge in regulatory compliance, audit readiness, and value-based care implications of coding accuracy, positioning the coder for advancement into senior coding, auditing, or CDI specialist roles.

🎯 Requirements

• Minimum 3-5 years of recent experience coding hospital acute care inpatient records.
• Active CCS, RHIT, or RHIA certification from AHIMA is required.
• Proven experience working with EHR and encoding systems such as EPIC, Cerner, Optum, and/or 3M.
• Advanced knowledge of ICD-10-CM and ICD-10-PCS coding principles, official guidelines, and quarterly coding clinics.
• Solid working knowledge of human anatomy, physiology, and medical terminology.
• Ability to achieve and maintain 95% coding accuracy while meeting productivity standards of ~3 inpatient charts per hour.

🏖️ Benefits

• Comprehensive medical, prescription, dental, and vision insurance plans.
• Generous paid time off including personal/family sick leave, company-paid holidays, and parental leave.
• 401(k) retirement plan with potential employer matching.
• Health Savings Account (HSA), Healthcare and Dependent Care Flexible Spending Accounts (FSAs).
• Short-term and long-term disability coverage, basic and supplemental life insurance.
• Tuition reimbursement, skills development funding, and access to certification support programs.
• Employee referral program and corporate-sponsored community outreach initiatives.
• Emergency back-up childcare assistance program.

Skills & Technologies

Remote

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Guidehouse Inc.

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About Guidehouse Inc.

Guidehouse Inc. is a global consulting and managed services provider formed in 2018 from the public sector practice of PwC. The company advises public and commercial clients on strategy, technology, risk management, and operations, focusing on energy, financial services, health, defense, and cybersecurity. With 18,000 professionals in over 60 offices worldwide, it delivers implementation support, managed services, and digital solutions to federal agencies, utilities, and Fortune 500 organizations. Guidehouse is majority-owned by Veritas Capital and partners with governments and businesses to address complex regulatory, operational, and innovation challenges.

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