The Hospital Inpatient Coding Specialist reviews inpatient medical records and assigns ICD-10-CM diagnosis and ICD-10-PCS procedure codes that derive APR-DRG or MS-DRG for optimal reimbursement. This role works in collaboration with Clinical Documentation Integrity Specialists to ensure coding accuracy consistent with Centra's policies. The specialist abstracts pertinent information according to established guidelines and formulates provider queries for clarification.

Responsibilities include assigning diagnosis and procedure codes, verifying DRG accuracy, abstracting required information, initiating provider coding queries as needed, meeting productivity and accuracy standards, assigning discharge status codes, ensuring Medicaid certification completion, and assigning HAC and POA indicators appropriately. Communication with CDI specialists and participation in meetings and educational programs to maintain coding competency are also required. The coder must maintain certification through continuing education and assist with reducing Accounts Receivable days related to DNFB.

Other duties include maintaining patient confidentiality, proficiency with remote work technology including Microsoft Office, positive communication with patients and staff, independent work capability, adaptability, attention to detail, and other assigned tasks.

Qualifications: High school diploma or equivalent; RHIA, RHIT, CCS, or CCA certification required; minimum 2 years acute care inpatient coding experience; proficiency in ICD-10-CM and ICD-10-PCS; knowledge of medical terminology, anatomy, physiology, disease processes; understanding of Inpatient Prospective Payment System, DRG methodologies, Severity of Illness, and Risk of Mortality; remote coding experience and experience coding multiple specialties preferred.

Travel is 0-10%.

Medical Coder Inpatient