Hospital Inpatient Coder

Cedars-Sinai; Yuma (AZ); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Paid time off

Health care benefits

403(b) retirement plan

Job summary

Cedars-Sinai is seeking a Hospital Inpatient Coder to assign ICD-10-CM and ICD-10-PCS codes by reviewing documentation in line with coding guidelines. The role identifies principal diagnoses, comorbidities, and presents coding sequences to accurately reflect DRG outcomes.

Qualified candidates will have 3+ years in healthcare coding and maintain up-to-date knowledge of MS-DRG and APR-DRG systems, along with CDI collaboration to ensure comprehensive coding profiles.

Qualifications

• High school diploma or GED required.
• Minimum 3 years’ work experience in healthcare coding.
• Certification required upon hire: RHIT/RHIA/CPC/CCS/CCS-P.

Responsibilities

• Review medical documentation and assign ICD-10-CM/ICD-10-PCS codes within productivity/quality standards.
• Abstract data elements for reporting and statistical capture in the EHR systems.
• Maintain knowledge of MS-DRG and APR-DRG classifications for patient stays.
• Resolve complex inpatient edits/alerts using current guidelines.
• Collaborate with CDI team to ensure complete coding profiles.
• Translate records into standardized codes for hospital reporting.
• Identify opportunities for documentation improvement and seek physician clarification.

Skills

ICD-10-CM/PCS coding knowledge

MS-DRG & APR-DRG awareness

Clinical documentation collaboration

Education

High school diploma or GED

Registered Health Info Tech (RHIT)

Registered Health Info Admin (RHIA)

Certified Professional Coder (CPC)

Certified Coding Specialist (CCS)

Certified Coding Specialist Physician-based (CCS-P)

Job description

Align yourself with an organization that has a reputation for excellence. Cedars Sinai was awarded the National Research Corporation’s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company’s Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We offer an amazing benefits package that includes paid time off, health care and a 403(B). Join us! Discover why U.S. News & World Report has named us one of America’s Best Hospitals.

What you will be doing in this role:

Working under the general direction of a coding supervisor, the Hospital Inpatient Coder is responsible for the assignment of ICD-10-CM and ICD-10-PCS codes by reviewing all appropriate documentation in accordance with standard coding guidelines. The Facility Inpatient Coder identifies the principal diagnosis, comorbidities/complications, present on admission indicators, and determines sequencing of codes to calculate the most appropriate DRG representing the patient stay. The role maintains knowledge of both Medicare Severity Diagnosis Related Groups (MS-DRG) and All Patient Refined Diagnosis Related Groups (APR-DRG) is required. Additionally, the incumbents maintain knowledge of appropriate capture of codes for statistical purposes such as Social Determinants of Health (SDOH), Hierarchical Conditions (HCC), and severity impacting conditions.

• Reviews medical documentation/health information within various electronic medical/health system(s) and assigns applicable codes (ICD-10-CM, ICD-10-PCS) within productivity and quality standard for area(s) of assignment/specialty (Facility or Professional).
• Abstracts all required data elements for reporting and statistical capture in a timely and accurate manner into the applicable system using the applications appropriate to the work assignment. This may include but not limited to: EPIC (CS-Link), EPIC HB and PB modules, Solventum 360Encompass, Solventum Standalone Encoder, Select Coder, etc.
• Applies basic knowledge of industry requirements of specific category coding and the impact (SDOH, PSI).
• Resolves complex inpatient edits/alerts with consistent accuracy using current guidelines within area(s) of assignment/specialty
• Communicates with Clinical Documentation Integrity Team members regarding complex clinical scenarios to ensure all relevant codes are assigned
• Focuses learning on advanced level concepts
• Translates medical records/health information including diagnoses, procedures and treatment and assigns standardized codes (International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), International Classification of Diseases, Tenth Revision, and Procedure Coding System (ICD-10-PCS) for patients receiving services within the Cedars Sinai Health System and its affiliates.
• Communicates collaboratively with the Clinical Documentation Integrity (CDI) team to align both clinical and coding approaches to ensure a complete coding profile. References anatomy, physiology, and clinical practice to support code assignment and contribute to CDI discussions.
• Abstracts data elements to satisfy statistical requests by the health system, medical staff, and enters all coded/abstracted information into the assigned system. Identifies opportunities for documentation improvement and seeks clarity by the physicians.

*Approved Remote States: Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon, Texas*

Qualifications

Requirements:

High school diploma or GED required.

A minimum of 3 years’ work experience doing code assignment in a healthcare setting performing similar coding duties required.

Registered Health Info Tech, Registered Health Info Admin, Certified Professional Coder, Certified Coding Specialist, or Certified Coding Spec Phys required upon hire.

Why work here?

Beyond outstanding employee benefits including health and dental insurance, paid vacation, and a 403(b), we take pride in hiring the best, most passionate employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our commitment to creating a dynamic, inclusive environment that fuels innovation.