Inpatient Medical Coder

We are seeking a highly experienced Inpatient Medical Coder with a deep background in acute care hospital coding. This role focuses exclusively on inpatient coding (ICD-10-CM/PCS and DRG assignment) for high-acuity, complex hospital cases.

Candidates must reside in one of the following states: Alabama, California, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Louisiana, Michigan, Missouri, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, Texas, Vermont, Virginia, Washington, West Virginia.

Core responsibilities include performing full-scope inpatient coding for acute care hospital encounters using ICD-10-CM/PCS; assigning and sequencing principal and secondary diagnoses and procedures per UHDDS standards; ensuring accurate MS-DRG and APR-DRG assignment; applying Present on Admission indicators; identifying Hospital-Acquired Conditions; reviewing complete inpatient medical records; analyzing complex cases such as ICU, trauma, surgical, and transplant; managing compliant provider queries; resolving pre-bill edits; abstracting and inputting clinical and coding data; collaborating with HIM and CDI teams to improve documentation and DRG accuracy; and maintaining high productivity and accuracy in a production-driven environment.

Required qualifications: minimum 5 years of dedicated inpatient coding experience in an acute care hospital setting; advanced expertise in ICD-10-CM/PCS coding, MS-DRG/APR-DRG assignment, UHDDS guidelines and inpatient regulations; proven experience coding complex inpatient cases; strong understanding of CMS guidelines; active certifications such as RHIA, RHIT, CCS or equivalent; demonstrated ability to meet inpatient coding productivity and accuracy benchmarks.

Preferred background includes experience in large acute care hospitals (500+ beds), teaching or university-affiliated hospitals, exposure to high-acuity multi-specialty inpatient populations, experience with coding platforms like Epic or 3M 360, and broad inpatient specialty experience (medical/surgical, cardiology, orthopedics, neurology, gastroenterology, behavioral health, transplant).

Flexible schedule within 7:00 AM to 7:00 PM.

This role offers exclusive work on inpatient acute care cases with no outpatient mix, exposure to complex high-acuity hospital coding scenarios, a team prioritizing DRG accuracy, compliance, and documentation excellence, and a stable opportunity to make an immediate impact.