Inpatient Coding Analyst (Remote)

A Brief Overview 

Responsible for research, management and resolution of pre-bill edits, and pre-bill errors. Conducts and or facilitates any other activities related to regulatory related coding requirements reviews, denials, surgery reservation CPT/PCS code(s) assignment and patient inquiries requiring coding review.

What You Will Do 

• Reviews claims edits, from different source systems, via assigned work queues, leveraging coding and regulatory expertise, enabling cases to be successfully processed in a timely and accurate manner.
• Prepares material through research of coding and/or payer guidelines for claims denials. Reviews coding and recommends updated coding changes and/or provides appeal documents to follow up Team.
• Responsible for reviewing assigned surgery reservation forms and assigning appropriate CPT/PCS and ICD10 codes to initiate pre certification process.
• Reviews requests from the Customer Service department related to HIS coding disputes.
• Performs analytic reviews of encounters generated by vendors or other external sources.
• Maintains coding knowledge and skills via written coding resources, clinical information and educational webinars. Maintains credentials. Maintains updated knowledge of regulatory guidelines and regulations affecting the coding field. Maintains knowledge of guidelines and regulations affecting the UHHS Coding Department.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).
• Trending for potential edits and working with the Coding Educator to develop training and ongoing education based on identified needs.

Additional Responsibilities

• Participates in educational and informational activities.
• Participates in student mentorship programs.
• Performs other duties as assigned.
• Complies with all policies and standards.
• For specific duties and responsibilities, refer to documentation provided by the department during orientation.
• Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

%3Cp%3E%3Cstrong%3EEducation%3C/strong%3E%3C/p%3E%3Cul%3E%3Cli%3EAssociate%27s Degree in HIM (Required) %26nbsp;%3C/li%3E%3Cli%3EBachelor%27s Degree In HIM (Preferred)%3C/li%3E%3C/ul%3E%3Cp%3E%3Cstrong%3EWork Experience%3C/strong%3E%3C/p%3E%3Cul%3E%3Cli%3E4+ years ICD-10 coding experience, preferably in a large academic medical center. (Required) %26nbsp;%3C/li%3E%3Cli%3E3+ years with hospital revenue accounting, billing, reimbursement and/or patient accounting (Required) %26nbsp;%3C/li%3E%3Cli%3EExperience in working directly with physicians and others (Preferred)%3C/li%3E%3C/ul%3E%3Cp%3E%3Cstrong%3EKnowledge, Skills, %26amp; Abilities%3C/strong%3E%3C/p%3E%3Cul%3E%3Cli%3EExpertise in surgical/procedure coding. (Required proficiency)%3C/li%3E%3Cli%3EThorough, up-to-date clinical skills, current working knowledge of pathology, pharmacology, surgical procedures, etc. (Required proficiency)%3C/li%3E%3Cli%3EExcellent written and verbal communication skills. (Required proficiency)%3C/li%3E%3Cli%3EAbility to function independently and as a team player in a fast-paced environment. (Required proficiency)%3C/li%3E%3Cli%3EDetail-oriented and organized, with good problem solving ability. (Required proficiency)%3C/li%3E%3Cli%3ENotable client service, communication, and relationship building skills. (Required proficiency)%3C/li%3E%3Cli%3EDemonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e. printers, copy machine, FAX machine, etc.). Proven ability to work within multiple systems. (Required proficiency)%3C/li%3E%3C/ul%3E%3Cp%3E%3Cstrong%3ELicenses and Certifications%3C/strong%3E%3C/p%3E%3Cul%3E%3Cli%3ERegistered Health Information Technologist (RHIT) (Required) or%3C/li%3E%3Cli%3ERegistered Health Information Administration (RHIA) (Required) and%3C/li%3E%3Cli%3ECertified Coding Specialist (CCS) (Preferred)%3C/li%3E%3C/ul%3E%3Cp%3E%3Cstrong%3EPhysical Demands%3C/strong%3E%3C/p%3E%3Cul%3E%3Cli%3EStanding Occasionally%3C/li%3E%3Cli%3EWalking Occasionally%3C/li%3E%3Cli%3ESitting Constantly%3C/li%3E%3Cli%3ELifting Rarely up to 20 lbs%3C/li%3E%3Cli%3ECarrying Rarely up to 20 lbs%3C/li%3E%3Cli%3EPushing Rarely up to 20 lbs%3C/li%3E%3Cli%3EPulling Rarely up to 20 lbs%3C/li%3E%3Cli%3EClimbing Rarely up to 20 lbs%3C/li%3E%3Cli%3EBalancing Rarely%3C/li%3E%3Cli%3EStooping Rarely%3C/li%3E%3Cli%3EKneeling Rarely%3C/li%3E%3Cli%3ECrouching Rarely%3C/li%3E%3Cli%3ECrawling Rarely%3C/li%3E%3Cli%3EReaching Rarely%3C/li%3E%3Cli%3EHandling Occasionally%3C/li%3E%3Cli%3EGrasping Occasionally%3C/li%3E%3Cli%3EFeeling Rarely%3C/li%3E%3Cli%3ETalking Constantly%3C/li%3E%3Cli%3EHearing Constantly%3C/li%3E%3Cli%3ERepetitive Motions Frequently%3C/li%3E%3Cli%3EEye/Hand/Foot Coordination Frequently%3C/li%3E%3C/ul%3E%3Cp%3E%3Cstrong%3ETravel Requirements%3C/strong%3E%3C/p%3E%3Cul%3E%3Cli%3E10%%3C/li%3E%3C/ul%3E

Job Details
Primary Location: United States-Ohio-Shaker_Heights
Work Locations: 3605 Warrensville Center Road, Shaker Heights, 44122
Job: Medical Billing / Coding / Records
Organization: UHHS_Coding
Schedule: Full-time
Employee Status: Regular
Shift: Days
Job Type: Standard
Job Level: Professional
Travel: No
Remote Work: Yes
Job Posting: Sep 14, 2026, 2:14:00 PM