Coder III - Inpatient Coder

At Insight Hospital and Medical Center Chicago, we aim to provide quality healthcare while achieving health equity in the Bronzeville area. The team is dedicated to delivering compassionate and expert care to patients.

This position requires high-level technical expertise in analyzing physician/provider documentation for Complex Outpatient (CO) and/or Inpatient records to determine diagnoses, procedures, and provide accurate coding including MS-DRG, POA, SOI, ROM assignments, and APCs.

Responsibilities include using encoder software and official coding guidelines from CMS, AHA, AMA, AHIMA, and organizational policies to assign ICD-CM, CPT, HCPCS codes, and related groupings and modifiers.

Key duties:

• Navigate health records and systems for coding accuracy
• Assign codes for complex inpatient and outpatient cases
• Collaborate with HIM and Patient Financial Services on billing and reimbursement issues
• Track missing documentation and facilitate timely coding
• Investigate claim denials and appeals
• Maintain current knowledge of coding and reimbursement regulations
• Uphold compliance, ethics, and professional standards

Qualifications:

• Completion of AHIMA/AAPC approved coding program or Associate's degree in Health Information Management or related field; Bachelor's preferred
• Certified Coding Specialist (CCS), CPC, RHIT, or RHIA
• Minimum 2 years of complex outpatient or inpatient coding experience; 3-5 years preferred
• Knowledge of medical terminology, anatomy, physiology, coding systems, and grouping
• Experience with encoder/grouping software and computer proficiency
• Strong communication, organizational, critical thinking skills
• Ability to work independently and adapt in virtual/collaborative environments

Physical requirements include ability to work at a computer for extended periods, occasional lifting up to 20 lbs, and ability to travel to the hospital approximately 10% of the time.

Benefits:

• Paid sick and vacation time after 90 days
• Health, vision, dental benefits eligible after 30 days
• Short and long-term disability and life insurance after 30 days

Note: COVID-19 vaccination required with medical/religious accommodations allowed.

Insight Hospital is an equal opportunity employer valuing workplace diversity.