MRT- Inpatient Coder
The MRT-Inpatient Coder at Confidential Client is responsible for accurately selecting and assigning inpatient medical codes using ICD-CM, PCS, CPT, and HCPCS classification systems. This role involves detailed review and abstraction of medical records, ensuring compliance with regulatory standards, and collaborating with clinical staff to resolve documentation issues. The position requires maintaining professional coding certifications and applying comprehensive knowledge of medical terminology, anatomy, and coding guidelines to support quality patient care and data integrity.
About Careertakes
👉 Important disclosure: Careertakes is a third-party recruiting platform supporting this hiring process. If selected, you will be employed directly by our client, Healthcare & Nursing.
Applicants for this role may also receive access to additional matched opportunities through the Careertakes platform.
Position overview
Confidential client is hiring a remote MRT - Inpatient Coder to perform inpatient medical record coding and abstraction for inpatient facility and/or professional services. This is a full-time role with a federal pay-grade range (GS-04 to GS-08) and a full performance level of GS-08. The position requires certification (AHIMA/AAPC or equivalent) and strong experience applying ICD-CM, PCS, CPT, and HCPCS coding guidelines.
What You’ll Do
- Select and assign ICD-CM, PCS, CPT, and HCPCS codes for inpatient records and inpatient professional services
- Abstract required medical, surgical, ancillary, demographic, social, and administrative data from the medical record
- Use electronic health record systems and coding/abstracting software to record and transmit coded data
- Query clinical staff for documentation clarification as needed
- Ensure audit findings are corrected and records are refiled appropriately
- Support coding quality and compliance with regulatory and accreditation standards (CMS, The Joint Commission)
- Work collaboratively with other coders and clinical teams; escalate complex questions to senior staff
Key qualifications
Minimum / Required
- U.S. citizenship or eligibility per federal policy
- Certification: Apprentice/Associate level (AHIMA or AAPC) or Mastery-level certification (AHIMA or AAPC). Clinical Documentation Improvement (CDI) certification (AHIMA/ACDIS) accepted for CDI specialist assignments
- Proficiency in spoken and written English
- Knowledge of ICD-CM and PCS Official Conventions and Guidelines for Coding and Reporting
- Ability to apply medical terminology, anatomy/physiology, and disease processes to assign accurate inpatient codes
- Familiarity with electronic health record systems and standard coding/abstracting software
- Understanding of privacy/confidentiality laws (HIPAA, Privacy Act, FOIA) and record-retention requirements
Preferred / Experience by grade
- GS-04: Entry level; no additional experience beyond basic requirements
- GS-05: One year of creditable experience equivalent to the next lower grade level OR a bachelor’s degree with at least 24 semester hours in health information management or related field
- GS-06 / GS-07 / GS-08: Progressive experience and demonstrated KSAs for deeper record analysis, code sequencing, CC/MCC and POA indicators, specialty inpatient coding, documentation improvement, and problem resolution
Knowledge, skills & abilities (KSAs)
- Strong ability to navigate and abstract information from complex health records
- Accurate application of coding conventions to a wide variety of inpatient specialties
- Skill in sequencing diagnoses/procedures to support correct MS-DRG assignment
- Ability to research and resolve coding and documentation-related issues
- Competence in prioritizing workload to meet deadlines and follow up on pending items
- Clear communication with clinical staff regarding coding and documentation questions
Compensation & employment type
- Employment type: Full time
- Salary range (provided): $36,409 - $72,644 per year
- Location: Remote (telecommute; candidates must meet U.S. applicant eligibility requirements)
Additional notes
- Failure to maintain required certification may result in removal from the occupation
- The role may be assigned to a single facility, consolidated coding unit, or work regionally
- This posting covers selection within the GS-04 to GS-08 range; final grade depends on experience and qualifications
About the industry
This opportunity is for a confidential client in Healthcare & Nursing focused on delivering high-quality health information management and inpatient coding services across a national care network.
Equal Opportunity & Hiring Transparency
Careertakes and our client are Equal Opportunity Employers committed to building a diverse and inclusive workforce. We prohibit discrimination or harassment of any kind. To support a fair and efficient hiring process, AI tools may be used to assist with application review or resume screening. These tools do not replace human decision-making. Final hiring decisions are made by people.
If you have questions about how your data is used, please contact us directly.
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