Coder IV Inpatient, Remote

Trinity Health; Livonia (MI); Remote; Full time

Job summary

A leading healthcare provider is seeking a Coder IV for inpatient records. This role requires high-level technical competency in coding, ensuring accurate hospital reimbursement, and collaboration with healthcare teams. The ideal candidate will have strong analytical skills and experience with coding software. Join a diverse team committed to equitable care and professional growth.

Qualifications

• At least 3 years of inpatient coding experience.
• Proficiency in medical terminology, anatomy, physiology, and coding.

Responsibilities

• Codes inpatient health records using encoder software.
• Collaborates with HIM and PBS teams to resolve billing issues.
• Ensures compliance with coding ethics.

Skills

Communication

Research

Analysis

Education

Bachelor’s

AHIMA-approved coding program

Tools

Encoder software

EMR tools

CAC

Job description

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Description

Provides high-level technical competency and subject matter expertise analyzing physician/provider documentation in inpatient health records to determine diagnoses and procedures. Assigns appropriate MS-DRG, APR DRG, POA, SOI, and ROM indicators for inpatient records. Identifies HACs and PSIs to ensure accurate hospital reimbursement. Utilizes encoder software applications, including online tools and references, for ICD-CM diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI, and ROM assignments.

Employment Type

Full-time

Shift

See description for details

Essential Functions

• Incorporates Trinity Health Mission, Vision, and Values in behaviors and decisions.
• Navigates health records and systems to accurately determine codes and indicators impacting reimbursement.
• Codes inpatient health records using encoder software and online tools.
• Reviews documentation to support diagnosis and MS-DRG, APR DRG assignments, aiming to reduce denials.
• Works on inpatient claim edits, adheres to coding standards, and consults with providers as needed for clarification.
• Utilizes EMR tools for documentation tracking and follow-up.
• Collaborates with HIM and PBS teams to resolve billing and reimbursement issues.
• Maintains CEUs and stays current with coding guidelines and regulations.
• Identifies and addresses workflow or documentation issues impacting coding.
• Ensures compliance with coding ethics and reports concerns appropriately.
• Performs other duties as assigned.

Minimum Qualifications

• Completion of an AHIMA-approved coding program or equivalent education/experience; Bachelor’s preferred.
• RHIT, RHIA, or CCS certification required.
• At least 3 years of inpatient coding experience with proficiency in medical terminology, anatomy, physiology, and coding.
• Experience with encoding/grouping software and CAC preferred.
• Strong communication skills and ability to research and analyze information.

Pay Range

$27.41 - $41.13 per hour

Our Commitment to Diversity and Inclusion

Trinity Health values diversity, equity, and inclusion, providing equitable care for all. We are an Equal Opportunity Employer.