The Inpatient Coder is responsible for accurately assigning ICD-10-CM and ICD-10-PCS codes to inpatient medical records while ensuring compliance with coding guidelines, reimbursement policies, and corporate standards. This role supports Health Information Management (HIM) Central Services by reviewing inpatient documentation, applying accurate codes, and collaborating with Clinical Documentation Integrity (CDI) teams to improve coding accuracy and financial integrity.
Essential Functions
- Perform remote inpatient coding for CHS-supported hospitals by reviewing electronic medical records and provider documentation.
- Assign accurate diagnosis and procedure codes in accordance with ICD-10-CM and ICD-10-PCS guidelines.
- Ensure compliance with payer-specific rules, regulatory requirements, and corporate standards.
- Submit queries to providers when documentation clarification is needed for specificity and clinical accuracy.
- Collaborate with CDI teams to support complete, compliant, and accurate coding.
- Maintain productivity and accuracy benchmarks, including a 95% coding accuracy target.
- Consult with management or other resources to resolve complex coding issues and discrepancies.
- Identify documentation gaps and opportunities for physician education or process improvement.
- Assist with coding audits and quality reviews.
- Maintain confidentiality of patient records and comply with HIPAA and HIM privacy regulations.
- Perform other duties as assigned and maintain regular attendance.
Requirements & Qualifications
Qualifications
- High school diploma or GED required.
- Associate degree in Health Information Management, Medical Coding, or a related field preferred.
- One-year coding certification in Health Information Management preferred.
- 1-3 years of inpatient coding experience in an acute care hospital or health system required.
- Experience coding complex cardiac and neuroscience procedures required.
- Experience with virtual desktop images, electronic medical record systems, encoding systems, word processing, and spreadsheet software required.
- Experience with both inpatient and outpatient coding preferred.
- Knowledge of MS-DRG and APR-DRG reimbursement methodologies preferred.
Knowledge, Skills, and Abilities
- Strong knowledge of ICD-10-CM and ICD-10-PCS coding principles, guidelines, and reimbursement methodologies.
- Familiarity with CDI best practices and clinical indicators.
- Experience with EHR and coding software such as 3M, EPIC, Meditech, or Cerner.
- Ability to work independently in a remote environment while meeting productivity and accuracy expectations.
- Strong analytical, problem-solving, and communication skills.
- Knowledge of HIPAA regulations and patient privacy standards.
Licenses and Certifications
- Certified Coding Specialist (CCS) - AHIMA required, or
- RHIT - Registered Health Information Technician required, or
- RHIA - Registered Health Information Administrator required.
- Certified Inpatient Coder (CIC) preferred.
Benefits & Perks
Benefits
- Comprehensive health coverage including medical, dental, and vision plans.
- Competitive pay and full benefits.
- Paid time off.
- Flexible scheduling.
- 401(k) with matching.
Location
N/A
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
1 week ago
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