Coder Analyst Inpatient

DaMar Staffing; Buffalo (NY); On-site; USD 60,000 - 90,000; Full time

Job summary

Search Solution Group is seeking a Coder Analyst - Inpatient for a non-profit healthcare system in Buffalo, NY. This role codes acute inpatient records including SNF and rehab, ensuring accurate reimbursement, regulatory compliance, and quality reporting.

The ideal candidate will review complex documentation, assign ICD-10-CM/PCS and CPT codes, and collaborate with CDI teams to improve documentation quality. A HIM/HIT degree and coding credentials are preferred, with ongoing education emphasized.

Qualifications

• Bachelor's degree in Health Information Management (HIM) or Associate of Applied Science (AAS) in Health Information Technology (HIT) preferred.
• RHIA or RHIT credential preferred.
• Candidates enrolled in HIT/HIM programs with coding coursework considered.
• Successful completion of coding assessment required.
• Certification within one year of hire or graduation required.

Responsibilities

• Review and assign accurate ICD-10-CM, ICD-10-PCS, and CPT codes for acute inpatient, SNF, and rehab records.
• Code ambulatory, ED, urgent care, interventional radiology, and same-day surgery records as needed.
• Analyze complete medical records to ensure accurate code assignment for reimbursement, quality reporting, and regulatory compliance.
• Query physicians for clarification when documentation is incomplete or lacks specificity.
• Collaborate with CDI team to improve documentation quality and coding accuracy.
• Generate reports and meet productivity and quality benchmarks.
• Stay current with coding updates, regulations, and best practices.

Skills

Analytical thinking

Communication skills

Organization

Time management

EHR proficiency

Detail-oriented

Interdisciplinary collaboration

Education

Bachelor's in HIM

RHIA/RHIT preferred

Coding coursework

Certification within 1 year

Tools

EHR systems

Coding software

MS Office

Job description

Job Overview

Search Solution Group is seeking a Coder Analyst - Inpatient on behalf of our client, a non-profit healthcare system, located in Buffalo, NY. This position is responsible for accurately coding acute inpatient hospital, skilled nursing facility (SNF), and rehabilitation medical records to support appropriate reimbursement, regulatory compliance, quality reporting, and clinical research. The Coder Analyst - Inpatient will review complex medical documentation, assign ICD-10-CM, ICD-10-PCS, and CPT codes, collaborate with physicians and Clinical Documentation Improvement (CDI) teams, and ensure coding accuracy in accordance with federal regulations and industry standards.

Key Responsibilities

• Review and assign accurate ICD-10-CM, ICD-10-PCS, and CPT codes for acute inpatient, skilled nursing facility (SNF), and rehabilitation medical records
• Code ambulatory, emergency department, urgent care, interventional radiology, and same-day surgery records as needed
• Analyze complete medical records to ensure accurate code assignment for reimbursement, quality reporting, and regulatory compliance
• Query physicians for clarification when documentation is incomplete, conflicting, or lacks specificity
• Review medical records for completeness and documentation accuracy
• Collaborate with the Clinical Documentation Improvement (CDI) Team to improve documentation quality and coding accuracy
• Participate in CDI meetings, education sessions, and interdisciplinary initiatives
• Maintain compliance with AHIMA coding standards, CMS regulations, and organizational policies
• Utilize electronic health record (EHR) systems and coding software to accurately document coding activities
• Generate reports and meet productivity and quality benchmarks
• Participate in ongoing education to remain current with coding updates, regulations, and best practices

Requirements include

Education

• Bachelor's degree in Health Information Management (HIM) or Associate of Applied Science (AAS) in Health Information Technology (HIT) preferred
• Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) credential preferred
• Candidates currently enrolled in a Health Information Technology or Health Information Management program who have completed coursework in coding, medical terminology, anatomy, and physiology will be considered
• Successful completion of the organization's coding assessment is required
• Candidates must obtain required certification within one (1) year of hire or graduation, whichever is later

Experience

• Minimum of six (6) months of coding experience in an acute care hospital preferred
• Experience coding inpatient hospital records preferred
• Experience collaborating with Clinical Documentation Improvement (CDI) teams is a plus

Skills

• Strong analytical and critical thinking abilities
• Excellent written and verbal communication skills
• Strong organizational and time management skills
• Ability to prioritize work and consistently meet productivity deadlines
• Proficiency with Electronic Health Records (EHR), coding software, and Microsoft Office applications
• Strong attention to detail and accuracy
• Ability to effectively communicate with physicians, clinical staff, and interdisciplinary teams

Certifications

• Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) preferred
• Certified Coding Specialist (CCS) credential strongly preferred
• Must maintain certification through AHIMA continuing education requirements

Knowledge

• ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding systems
• Medical terminology, anatomy, physiology, and disease processes
• Clinical Documentation Improvement (CDI) principles
• CMS reimbursement methodologies and federal coding regulations
• Electronic Health Records (EHR) and coding applications
• Healthcare compliance, privacy regulations, and documentation standards
• Medical record review and physician query processes

Key Competencies

• Exceptional attention to detail and coding accuracy
• Strong analytical and problem-solving skills
• Ability to work collaboratively with interdisciplinary healthcare teams
• Effective communication and relationship-building abilities
• Accountability and commitment to quality outcomes
• Adaptability and openness to process improvements
• Ability to manage multiple priorities in a fast-paced healthcare environment
• Strong organizational skills and self-motivation
• Commitment to continuous professional development and lifelong learning

Company Overview

Company Industry: Non-Profit Healthcare System

Location: Buffalo, New York

Equal Opportunity Employer Statement

Search Solution Group is an Equal Opportunity Employer committed to fostering an inclusive workplace where diversity is valued and respected. We do not discriminate on the basis of race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status in our hiring process or employment practices. We believe that a diverse workforce brings unique perspectives and strengths, driving innovation and growth. All employment decisions are based on qualifications, merit, and business needs. We welcome applicants from all backgrounds to apply and contribute to our team.