job description
Join Tenet Global Business Center, Inc. as a Remote Inpatient Medical Coder / DRG Validator and play a pivotal role in ensuring accurate medical coding and Diagnosis-Related Group (DRG) validation for high-volume Statement of Benefits (SOB) cases. This fully remote position offers the flexibility to work from the vibrant locations of Bali, Indonesia, including Canggu, Ubud, Denpasar, and more.
As a key member of our healthcare revenue cycle team, you will analyze complex inpatient medical records, assign precise ICD-10-CM/PCS and CPT codes, and validate DRG assignments to optimize reimbursement and compliance. Your expertise will directly impact financial accuracy and operational efficiency for our global healthcare clients.
We are seeking detail-oriented professionals with a passion for medical coding and a commitment to excellence. If you thrive in a dynamic, remote work environment and have a strong foundation in inpatient coding, this is your opportunity to advance your career with a leading global healthcare services provider.
Responsibility
- Review and analyze inpatient medical records to extract relevant clinical data for accurate coding.
- Assign appropriate ICD-10-CM/PCS, CPT, and HCPCS codes in compliance with official coding guidelines (e.g., AHA, CMS).
- Validate Diagnosis-Related Group (DRG) assignments to ensure proper reimbursement and avoid denials.
- Conduct SOB (Statement of Benefits) audits for high-volume cases, identifying discrepancies and resolving coding errors.
- Collaborate with clinical documentation improvement (CDI) teams to clarify ambiguous or incomplete documentation.
- Stay updated on coding regulations, payer policies, and industry best practices to maintain compliance.
- Utilize encoding software (e.g., 3M, Epic, Cerner) and electronic health records (EHR) for efficient workflow management.
- Prepare and submit coding reports and metrics to support performance tracking and process improvements.
Qualifications
- Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or RHIT/RHIA credential required.
- Minimum 3+ years of inpatient medical coding experience, with expertise in DRG validation and SOB processing.
- Proficiency in ICD-10-CM/PCS, CPT, and HCPCS coding systems and familiarity with MS-DRG, APR-DRG methodologies.
- Strong understanding of medical terminology, anatomy, and pathophysiology to interpret complex clinical documentation.
- Experience with coding audits, compliance checks, and denial management in a high-volume setting.
- Excellent analytical, problem-solving, and time-management skills to meet productivity and accuracy targets.
- Familiarity with EHR systems (e.g., Epic, Cerner, Meditech) and coding software (e.g., 3M, Optum).
- Ability to work independently in a remote setting with reliable internet connectivity and a distraction-free workspace.