Coder II - Inpatient

Avera Health; Sioux Falls (SD); Remote; USD 32,000 - 52,000; Full time

Benefits offered by this job

PTO from day 1

Retirement match

Job summary

Avera Health is seeking a detail-oriented IP Coder II to accurately assign ICD-10-CM diagnosis and PCS procedure codes for inpatient charts across facilities. You will review documentation, determine DRGs, and collaborate with clinicians to ensure precise coding.

Ideal candidates have AHIMA credentials and experience with ICD-10-CM/PCS, DRG logic, and CMS guidelines. Remote work is not indicated; the role supports ongoing education and quality goals.

Qualifications

• Review clinical documentation to identify ICD-10-CM/PCS codes for inpatient charts across facilities.
• Coordinate with physicians and staff to ensure full capture of the medical record for correct DRG classification.
• Maintain quality and production goals with guidance from senior coding staff.

Responsibilities

• Review all aspects of a patient’s clinical documentation to assign ICD-10-CM/PCS codes.
• Identify appropriate DRG based on insurance and medical coding needs.
• Query physicians and staff to ensure complete documentation for accurate coding.

Skills

ICD-10-CM & PCS coding

DRG determination

Clinical documentation review

Education

Certified Coding Specialist (CCS)

AHIMA CDIP

RHIT

CCA

RHIA

Job description

Location:Avera Downtown Building-Sioux FallsWorker Type:RegularWork Shift:Primarily days with possible weekends/evenings/holidays (United States of America)Pay Range:The pay range for this position is listed below. Actual pay rate dependent upon experience.$25.50 - $38.00Position HighlightsYou Belong at AveraBe part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.A Brief OverviewResponsible for the timely and accurate assignment of diagnostic and procedural codes for inpatient charts for a variety of facilities within Avera Health. Accurate abstracting along with other reporting and editing functions is also within the scope of the Coder. The Coder will work to meet quality and production goals for the position with guidance from other professional staff. Position will work closely with and be mentored by other coding professional staff to ensure accurate coding assignment.What you will doReview all aspects of a patient’s clinical documentation in order to identify the appropriate sequence of ICD-10-CM diagnosis and PCS procedure codes for assigned patient charts across Avera’s facilities. Understand the basics of ICD-10-CM and PCS codes in depth, and be willing to update that knowledge through research or other educational opportunities.IP Coder II is distinguished by specific services lines which could include but not limited to the following: Surgery, NICU/PICU, Cardiovascular, Women’s Health, OB, Nursery, Behavioral Health, Orthopedics, Inpatient Rehabilitation and others as appropriate.Focus on determining the appropriate DRG based on insurance and/or medical coding for inpatient charts or other charts as necessary for the inpatient service line.Serves as a subject matter expert for other health professionals within Avera on these topics on occasion.Queries physicians and clinical documentation staff to ensure a full capture of the clinical record for appropriate DRG classification and/or medical coding.Essential QualificationsThe individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.Required Education, License/Certification, or Work Experience:Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) within 180 Days orCertified Document Improvement Practitioner (CDIP) - American Health Information Management Association (AHIMA) within 180 Days orRegistered Health Information Tech (RHIT) - American Health Information Management Association (AHIMA) within 180 Days orCertified Coding Associate (CCA) - American Health Information Management Association (AHIMA) within 180 Days orRegistered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) within 180 DaysPreferred Education, License/Certification, or Work Experience:Associate's Health Information Administration or Health Information Technology1-3 years coding experienceExpectations and StandardsCommitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community.Promote Avera’s values of compassion, hospitality, and stewardship.Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.Maintain confidentiality.Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.Benefits You Need & Then SomeAvera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.PTO available day 1 for eligible hires.Up to 5% employer matching contribution for retirementCareer development guided by hands-on training and mentorshipAvera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to [e-mail].