Coding Specialist III

Bryan Health; Kearney (NE); On-site; USD 65,000 - 90,000; Full time

Job summary

Bryan Health is seeking an experienced Inpatient Coder to review complex medical records, assign accurate diagnoses and procedures, and ensure compliant reimbursement. You will apply MS-DRG/APR-DRG methodologies and POA indicators while maintaining high data quality in our EHR systems.

The role requires 2 years of inpatient coding experience and formal ICD-10-CM/CPT coursework, with ongoing education and mentoring responsibilities within the Coding Department.

Qualifications

• Requires high school diploma or equivalent and formal ICD-10-CM, CPT coding coursework.
• 2 years inpatient coding experience with high-complexity cases; strong knowledge of ICD-10-CM/PCS, MS-DRG/APR-DRG, POA indicators, quality reporting.

Responsibilities

• Review complex inpatient records to assign accurate codes.
• Determine principal and secondary diagnoses, procedures, POA indicators and discharge dispositions.
• Apply MS-DRG and APR-DRG methodologies for compliant reimbursement and outcomes.
• Enter coded data into designated systems meeting accuracy, productivity, and turnaround standards.
• Query providers to clarify documentation and resolve coding edits and discrepancies.
• Support coding audits, peer reviews and quality assurance activities for compliance and accuracy.
• Educate providers and team members on coding rules and documentation standards.
• Mentor and train coding staff to improve knowledge and consistency.
• Maintain confidentiality and adhere to regulatory requirements.
• Pursue ongoing professional growth through seminars and affiliations.

Skills

Inpatient coding

MS-DRG/APR-DRG

POA indicators

EHR proficiency

Education

High school diploma

ICD-10-CM/CPT coursework

Tools

EHR systems

Job description

Reviews and analyzes complex clinical documentation to accurately assign diagnosis and procedure codes that support compliant reimbursement and quality reporting. Applies expert‑level knowledge of inpatient coding rules to ensure accurate severity of illness, risk of mortality, and regulatory compliance. Serves as a technical resource through documentation clarification, audit support, education, and mentoring to strengthen coding quality and consistency across the organization.

• *Commits to the mission, vision, beliefs and consistently demonstrates our core values.
• *Reviews complex inpatient medical records to identify and assign accurate codes.
• *Determines principal diagnoses, secondary conditions, complications, procedures, present on admission (POA) indicators, hospital‑acquired conditions, and discharge dispositions.
• *Applies MS-DRG and APR-DRG methodologies to support accurate reimbursement, severity of illness, risk of mortality, and quality outcomes.
• *Enters coded data into designated systems to meet established accuracy, productivity, and turnaround standards.
• *Queries providers to clarify documentation and resolves advanced coding edits and discrepancies.
• *Supports coding audits, peer reviews, and quality assurance activities for compliance and accuracy.
• *Educates providers and team members on coding rules, documentation standards, and best practices.
• *Mentors and trains coding team members to build technical knowledge and consistency.
• Maintains confidentiality and adheres to ethical coding and regulatory requirements.
• Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.

Education And Experience

High school diploma or equivalent required. Completion of formal coursework in ICD‑10‑CM, CPT and medical coding principles from an accredited or approved program required.

Two (2) years of inpatient medical coding experience, including high‑complexity cases; advanced knowledge of ICD‑10‑CM, ICD‑10‑PCS, MS‑DRG/APR‑DRG methodologies, POA indicators, and quality reporting concepts; proficiency with electronic health records and coding systems.

Other Credentials / Certifications

One (1) of the following required:

• Registered Health Information Administrator (RHIA)
• Registered Health Information Technician (RHIT)
• Certified Coding Specialist (CCS)
• Certified Coding Specialist – Physician‑Based (CCS‑P)
• Certified Professional Coder (CPC)
• Certified Inpatient Coder (CIC)