Position Summary
This role is responsible for retrospective coding of inpatient medical records after patient discharge, ensuring complete, accurate, and compliant code assignment in accordance with federal regulations and official coding guidelines.
The position assigns ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes for inpatient encounters, captures required abstracted data elements, and uses computer-assisted coding (CAC) and encoder tools after reviewing the electronic medical record.
The coder resolves system and coding edits, supports accurate MS-DRG and APR-DRG assignment, and contributes to compliant hospital reimbursement, quality outcomes, and case mix index reporting. The role also collaborates with CDI specialists, physician advisors, and revenue cycle partners to clarify documentation and support denial prevention efforts.
Key Responsibilities
- Assign accurate ICD-10-CM and ICD-10-PCS codes for inpatient records
- Sequence diagnoses and procedures appropriately
- Abstract required inpatient data elements
- Resolve coding and system edits
- Support accurate DRG assignment and reimbursement integrity
- Collaborate with CDI and revenue cycle teams
- Maintain productivity, quality, and workload standards
Required Qualifications
- High school diploma or GED
- RHIT, RHIA, or CCS credential
- At least 2 years of inpatient hospital coding experience
- Experience with ICD-10-CM/PCS code assignment and DRG assignment
Preferred Qualifications
- 4 to 6 years of inpatient coding experience
- Strong understanding of DRG methodology, including SOI and ROM
- Experience working with CAC and encoder tools
Location
Ohio, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
4 months ago