Inpatient Coder

Review and code inpatient medical records using ICD-10-CM, ICD-10-PCS, and applicable guidelines

Assign and sequence diagnosis and procedure codes following UHDDS standards

Apply MS-DRGs, POA indicators, and procedural categories as appropriate

Ensure accurate discharge disposition coding

Maintain productivity and accuracy standards

Query physicians when documentation is unclear or incomplete

Validate documentation aligns with procedures performed

Review coding work queues and collaborate with revenue cycle teams to resolve accounts

Ensure compliance with coding, billing, and documentation regulations

High school diploma or equivalent required

Experience with EPIC is required

Minimum 1 year of coding experience required

One or more certifications required: RHIA, RHIT, CCS, CCA, CCS-P, CPC, or CPC-H

AHIMA coding certificate preferred

Multi-facility or remote coding experience preferred

Strong knowledge of ICD-10-CM, ICD-10-PCS, and MS-DRG coding guidelines

Understanding of medical terminology, anatomy, physiology, and surgical procedures

Knowledge of payer regulations and reimbursement systems

Familiarity with physician query processes and documentation compliance

Strong analytical and problem-solving skills

High attention to detail and accuracy

Ability to manage multiple priorities and meet deadlines

Strong communication skills and ability to work with clinical and revenue cycle teams

Knowledge of ethical coding standards and compliance requirements