Coder III

Mountain Region Support; United States; Remote; USD 65,000 - 90,000; Full time

Job summary

CommonSpirit is seeking a Coder III to code and abstract complex inpatient records, supporting reimbursement, research, and data integrity across the organization.

You will resolve billing-related inquiries, manage DRG denials, audits, and CHA data submissions, and mentor others while collaborating with Coding School Trainers and management on education and process improvements.

Qualifications

• Inpatient coding experience in an acute care setting.
• Proficient understanding of ICD-10-CM/PCS coding conventions.
• Experience resolving billing inquiries and DRG denials.
• Familiarity with Coding Clinic Guidelines and regulatory standards.

Responsibilities

• Code and abstract complex inpatient records to support reimbursement and data integrity.
• Resolve billing-related inquiries and manage coding follow-ups for the team.
• Lead audits, draft DRG-related appeals, and support CHA data submissions.
• Serve as a subject matter expert for complex coding questions and system edits.
• Provide training and mentorship to Coding Service Center staff.

Skills

Inpatient coding

Windows proficiency

Mentorship & training

AHIMA/AAPC credentials awareness

Education

RHIA/RHIT/CCS/CCS-P or CPC/COC

Tools

3M Coding

Job description

Where You'll Work

With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

Job Summary and Responsibilities

As our Coder III, you will serve in an expert-level capacity, responsible for coding and abstracting complex inpatient records to support accurate data retrieval, reimbursement, research, and analysis. You will play a pivotal role in maintaining high standards of clinical documentation and data integrity across the organization.

Every day, you will act as a primary resource for hospital staff and fellow coding team members by resolving billing-related inquiries and addressing coding follow-ups. Additionally, you will support leadership with critical administrative tasks, including managing DRG denials, navigating claim edits, conducting internal audits, and overseeing CHA data submissions.

To be successful in this role, you will leverage your deep technical expertise to provide mentorship and hands-on guidance to others. This includes working closely with Coding School Trainers to facilitate high-level inpatient training and collaborating with management to provide ongoing coding education and process improvements.

Accurately code and abstract inpatient records and assign DRGs in compliance with official coding guidelines, regulatory standards, and organizational policies.

Support the revenue cycle by performing detailed coding reviews, conducting audits, and drafting appeal letters to resolve DRG denials and billing disputes.

Act as a key liaison between the inpatient coding team, CDIS, and Revenue Management departments to identify trends, resolve issues, and ensure consistent communication.

Serve as a subject matter expert to answer complex coding questions and troubleshoot system or billing-related edits in accordance with regulatory requirements.

Facilitate training sessions and conduct quality audits to promote accurate reimbursement practices, providing constructive feedback to improve team performance.

Assist management with personnel-related tasks and foster a professional, team-oriented environment that aligns with the values and goals of the Coding Service Center.

Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states:

• Alabama- Arizona- Arkansas- Colorado
• Florida- Georgia- Idaho- Indiana
• Iowa- Kansas - Kentucky- Louisiana
• Missouri- Mississippi- Nebraska- New Mexico
• North Carolina- Ohio- Oklahoma- South Carolina
• South Dakota- Tennessee- Texas- Utah
• Virginia- West Virginia- Wyoming

Job Requirements

High School Diploma/G.E.D. Required

A minimum of two (2) - four (4) years of inpatient coding experience in an acute care setting

Current AHIMA credentials (i.e. RHIA, RHIT, CCS, CCS-P) or AAPC credentials (COC, CIC, CPC-H, CPC) required and maintained OR must acquire certification within 6 months of hire

Must demonstrate competency of inpatient coding guidelines as well as other inpatient coding guidelines

Proficient in Microsoft Windows applications (i.e. Word, Excel, PowerPoint, Outlook)

Demonstrate advanced knowledge of Coding Clinic Guidelines, and advanced technical knowledge with coding competency in ICD-10, ICD PCS and Nosology Advance knowledge of disease management, anatomy and physiology, medical terminology, pharmacology and coding systems (i.e. 3M)