Job Details

Summary Our award-winning client is seeking a skilled and experienced Inpatient Coder to join their health information management team. The primary goal of this position is to ensure the integrity and accuracy of inpatient medical record coding and subsequent billing claims. As an Inpatient Coder, you will perform comprehensive chart reviews to assign accurate ICD-10-CM/PCS codes, ensure compliance with official coding guidelines, and ultimately secure appropriate reimbursement through precise DRG assignment. This role requires expert knowledge in complex coding principles, clinical documentation requirements, and regulatory standards. Responsibilities Accurate Code Assignment: Conduct comprehensive analysis and review of complex inpatient medical records to accurately assign the principal diagnosis, secondary diagnoses, and all procedures utilizing ICD-10-CM and ICD-10-PCS classification systems. DRG Validation & Compliance: Ensure strict adherence to the Official Coding and Reporting Guidelines to validate that the assigned codes result in the most accurate and appropriate MS-DRG and/or APR-DRG for billing purposes. Error Prevention & Quality Improvement: Minimize coding errors through diligent review and application of coding rules. Identify documentation trends and suggest process improvements to enhance overall clinical documentation quality and coder efficiency. Collaboration: Effectively consult and collaborate with clinical documentation specialists (CDS), physicians, and other care team members to ensure documentation integrity and resolve complex coding scenarios. Workflow Management: Manage, prioritize, and organize a full inpatient coding workload, demonstrating the ability to independently meet high productivity and quality standards. Professional Development: Attend all mandatory departmental team meetings, training sessions, and remain current on changes to coding guidelines, regulatory mandates, and hospital policies. Other Duties: Complete additional tasks or special projects as assigned by leadership. Required Qualifications Experience: A minimum of 3 years of recent, acute care inpatient coding experience in a hospital setting. Coding Certification (Mandatory): Must possess and maintain the Certified Coding Specialist (CCS) Or (CIC) Certified Inpatient Coder credentials as a condition of employment. Expert Knowledge: Demonstrated expertise in applying ICD-10-CM and ICD-10-PCS classification systems, Official Coding Guidelines, and comprehensive knowledge of DRG methodologies (MS-DRG and APR-DRG). Preferred Skills Prior experience with computer-assisted coding (CAC) software and abstracting systems. Experience coding a wide range of inpatient cases, including complex medical and surgical specialties.