Hospital Inpatient Coder

This is a fully remote position, open to applicants in Arizona, +7 more states.

📋 Description

• Review medical records and health information within electronic medical/health systems.

• Assign ICD-10-CM and ICD-10-PCS codes in accordance with standard coding protocols.

• Identify primary diagnoses, comorbidities/complications, present-on-admission indicators, and appropriate code sequencing.

• Determine the most suitable DRG that represents each patient's stay.

• Abstract necessary data elements for reporting and statistical purposes.

• Resolve complex inpatient edits and alerts.

• Engage with Clinical Documentation Integrity team members regarding intricate clinical scenarios.

• Convert diagnoses, procedures, and treatments into standardized codes.

• Work collaboratively with the CDI team to ensure alignment between clinical and coding methodologies.

• Reference anatomy, physiology, and clinical practices to support accurate code assignment.

• Identify opportunities for documentation improvement and seek clarifications from physicians.

• Input coded and abstracted information into designated systems.

⛳️ Requirements

• A high school diploma or GED is mandatory.

• At least 3 years of professional experience in code assignment within a healthcare environment, performing similar coding responsibilities is required.

• Certification as a Registered Health Information Technician, Registered Health Information Administrator, Certified Professional Coder, Certified Coding Specialist, or Certified Coding Specialist Physician is necessary upon hire.

• Proficiency in ICD-10-CM and ICD-10-PCS coding is essential.

• Familiarity with Medicare Severity Diagnosis Related Groups (MS-DRG) and All Patient Refined Diagnosis Related Groups (APR-DRG) is required.

• Understanding of Social Determinants of Health (SDOH), Hierarchical Conditions (HCC), and conditions impacting severity is crucial.

• Experience in reviewing medical documentation and health information is necessary.

• Proficiency with EPIC (CS-Link), EPIC HB and PB modules, Solventum 360Encompass, Solventum Standalone Encoder, Select Coder, or similar applications is expected.

• Knowledge of standard coding guidelines is essential.

• Ability to identify principal diagnoses, comorbidities/complications, present-on-admission indicators, and code sequencing is required.

• Capability to resolve complex inpatient edits/alerts is necessary.

• Ability to collaborate effectively with Clinical Documentation Integrity teams and physicians is required.

🏝️ Benefits

• Paid time off.

• Health care insurance.

• Dental insurance.

• Paid vacation.

• 403(b) retirement plan.

• Inclusive, dynamic work environment.

• Employee engagement and innovation-focused workplace.