Inpatient Surgical Coder

Core responsibilities

• Assign ICD-10-CM and ICD-10-PCS codes for inpatient surgical and procedure-based records
• Ensure accurate DRG assignment based on procedures performed and patient acuity
• Review documentation for procedural coding, sequencing, and clinical alignment
• Maintain productivity and turnaround time standards to support DNFB reduction and revenue cycle performance
• Apply coding guidelines, IPPS/CMS requirements, and payer rules for compliant coding
• Identify documentation gaps and collaborate with CDI for clarification when appropriate
• Incorporate audit findings and education into daily coding practice
• Review documentation for MCC/CC capture opportunities
• Participate in quality reviews and performance improvement initiatives
• Maintain knowledge of coding updates, PCS guidelines, and regulatory changes

Knowledge and skills

• Ability to interpret clinical documentation and its impact on coding and DRG assignment
• Knowledge of ICD-10-CM coding, low acuity procedures, and inpatient reimbursement (IPPS)
• Understanding of CDI processes and documentation requirements
• Ability to identify coding and documentation risks
• Ability to write compliant queries
• Strong analytical and problem-solving skills
• Effective communication and collaboration across clinical, CDI, and coding teams

Education and experience

• High school diploma or equivalent required
• 4+ years of acute care hospital coding experience, including heavy PCS coding of complex surgeries, or 4 years of hospital coding plus completion of the AdventHealth inpatient surgical coding training program

Certifications

• Certified Coding Specialist (CCS), RHIA, RHIT, or CPC required

Benefits and perks

• Medical, dental, and vision insurance from day one
• Life insurance and disability insurance
• Paid time off from day one
• 403(b) retirement plan
• 4 weeks of 100% paid parental leave
• Career development opportunities
• Whole person well-being resources
• Mental health resources and support
• Pet benefits