Serve as the SME for ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding
Perform DRG validation and retrospective medical claims reviews
Analyze inpatient and outpatient claims for coding accuracy and pricing determinations
Prepare determination letters and written review outcomes
Identify potential fraud, quality concerns, and coding discrepancies
Provide training and mentorship to clinical coding staff
Support cross-functional teams with coding guidance and review findings
Research medical policy, benefits, limitations, and current coding guidelines
Ensure timely completion of reviews in accordance with performance standards
Maintain accurate documentation within medical management and claims systems
Escalate complex cases to the Medical Director when appropriate
What you must have:
High School Diploma or GED
One of the following active credentials:
CIC – Certified Inpatient Coder
CCS – Certified Coding Specialist
RHIT – Registered Health Information Technician
Minimum 5+ years of clinical coding experience (facility and/or professional)
Minimum 3+ years of inpatient and/or outpatient claims processing experience
Experience working in a fast-paced production environment
Ability to obtain and maintain a favorable background investigation
U.S. Citizenship required
Nice to have:
Experience in managed care, health insurance, or private healthcare industry
Familiarity with government healthcare programs and guidelines
Core Competencies
Advanced inpatient facility coding & DRG validation expertise
Strong analytical and problem-solving skills
High attention to detail and organizational ability
Ability to manage large volumes of complex information
Independent, deadline-driven work style in a remote environment
Effective cross-functional communication and collaboration
Proficiency in Microsoft Word, Excel, and multi-system environments
Salary/Rate Range: $80,000 – $90,000 annually
?????Other Information:
Work Environment
100% Remote – must work from an approved state
Ability to work independently in a home office setting
Prolonged computer work and sitting required
Flexibility to support varying work schedules if needed
Thank you for your interest in this opportunity. If you are selected to move forward in the process, we will contact you directly. If you do not hear from us, we encourage you to continue visiting our website for other roles that may be a good fit.
Sr. Inpatient Clinical Coder • Vancouver, BC
Perhaps you’re a fresh graduate looking for their first real gig, and are driven to make a difference in people’s lives.Maybe you’ve been in the workforce for a while and are looking for a career s... Show more
Pursue a fulfilling career as a healthcare revenue cycle coder with Rex.This role offers full-time remote work with an emphasis on coding accuracy.You will collaborate closely with healthcare teams... Show more
Join Fraser Health as the Senior Local Department Head of Medical Imaging at Royal Columbian Hospital.Help lead transformative changes in patient care through robust departmental leadership and col... Show more
Schedule: Monday–Saturday (5 days/week, Saturdays required).Wage range: $22–$25/hr + up to $4/hr in monthly bonuses.Make a Real Difference — Close to Home.Are you a confident, take-charge organizer... Show more
A leading healthcare organization in Alberta seeks a Director of Clinic Operations to oversee clinic performance and enhance patient experiences.The ideal candidate will have over 5 years of leader... Show more
Perhaps you’re a fresh graduate looking for their first real gig, and are driven to make a difference in people’s lives.Maybe you’ve been in the workforce for a while and are looking for a career s... Show more
Clinical Supervisor, Therapeutic Recreation, Residential Services.We are currently looking to fill a casual opportunity for Clinical Supervisor, Therapeutic Recreation, Residential Services at Fell... Show more
Elevate your career with Sonova as a Clinical Specialist in Western Canada, specializing in cochlear implants.This role focuses on sales, patient support, and market expansion.As a Clinical Special... Show more
The salary range for this position is CAD $41.The hours of work, including start and stop times, days off, work area and work site may be subject to change consistent with operations requirements a... Show more
A leading pharmaceutical firm is seeking a Senior Lead Clinical Data Manager to drive data strategy and lead high-impact clinical projects fully remotely in Canada.The role requires extensive exper... Show more
Lead, coach, and support Billing team members, including oversight of national eBilling operations.Oversee end-to-end billing processes, including draft preparation, revisions, finalization, and di... Show more
Fraser Valley Cataract and Laser (FVCL) is a leading BC-based organization that provides patient-centered ophthalmology eye care in advanced medical and surgical facilities.We continue to work towa... Show more
Support diverse patient needs as a Bilingual Senior Care Navigator at Sentrex Health Solutions.This remote position focuses on advanced patient support and reimbursement expertise across various pr... Show more
Looking for people to participate in taking online surveys for Fortune 500 brands.All you need to do is complete online surveys by sharing your opinion.You will help influence brand decisions on se... Show more
Shape the future of health information management at St.Paul’s Hospital as a Coding Standards Leader.Focus on improving data quality through training and expert guidance.Reporting to the Regional M... Show more
Senior Lead Clinical Data Manager (Equivalent to project lead DM).You’ll collaborate directly with leading pharma sponsors, gain exposure to diverse therapeutic areas, and shape your career in a tr... Show more
We are hiring client care coordinators across our five studios.First point of contact for every client.You own booking, billing, coverage questions, and the calm, friendly tone that makes the studi... Show more
We invite you to apply today and find out why employees recommend Fraser Health to their friends as an exceptional place to work.We are committed to planetary health, we value diversity in the work... Show more
TELUS Health Data Services is at the forefront of Canada’s health data interoperability movement and we’re at a pivotal moment.You’ll lead end-to-end program management across our delivery workstre... Show more
Looking for people to participate in taking online surveys for Fortune 500 brands.All you need to do is complete online surveys by sharing your opinion.You will help influence brand decisions on se... Show more
