Inpatient Coder

 At Sage Clinical RCM, you'll code high-acuity inpatient encounters across a national portfolio of health systems, from academic medical centers to community hospitals. No two client environments are identical, and that's the point. You'll sharpen your skills across specialties, payers, and documentation styles instead of coding the same census for years. 

What You'll Do 

• Review inpatient encounters and assign accurate ICD-10-CM/PCS codes and DRGs that hold up to audit. 
• Read documentation critically. When it doesn't support the coded services, flag it and escalate the gap. 
• Code in full compliance with CMS requirements, payer-specific rules, and official coding guidelines. 
• Move confidently between client workflows, systems, and audit expectations. 
• Hold the line on quality (95% accuracy or better) while meeting realistic productivity standards. 

What You Bring 

• Active RHIA, RHIT, and/or CCS credential. 
• 3+ years of inpatient coding experience in an acute care setting, medium or large facility preferred. Select client engagements require 5+ years. 
• Fluency with EHR systems (Epic, Cerner), encoders, and CAC platforms (Solventum, Optum). 
• The judgment to work independently and the instinct to ask when something looks off. 

How We Work 

• 100% remote, production-driven, with real collaboration across coding, audit, and client teams. 
• Full-time roles aligned to client and project needs. 
• Part-time, PRN, and project-based options for backlog support, specialty coverage, or targeted initiatives. 

Some positions may require evening or weekend coverage depending on client needs or project scope. 

Why Sage Clinical RCM 

• National exposure to diverse, high-acuity health systems and specialties. 
• A quality-first culture. We staff to realistic expectations, not volume at any cost. 
• Flexibility that fits your life: full-time, part-time, or PRN. 
• A real growth path into audit, education, and advisory work as your career expands.