Inpatient Coder

Savista, LLC; California (MO); Hybrid; USD 65,000 - 80,000; Full time

Job summary

Savista, LLC is seeking a qualified Coder to review clinical documentation and assign ICD-10-CM and ICD-10-PCS codes for Facility Inpatient records. You will validate MS-DRG calculations and ensure accurate abstracting to support billing and regulatory compliance.

The role requires AHIMA or AAPC credentials (RHIA/RHIT/CCS/COC/CCS-P/CPC), 2 years of inpatient coding experience, and strong MS Office skills, with a commitment to confidentiality and ongoing education.

Qualifications

• Pre-employment skills assessment required.
• Active AHIMA or AAPC credential (RHIA, RHIT, CCS, COC, CCS-P, CPC or CPC-H).
• Two years of recent hands-on coding experience with inpatient records.
• Proficient in ICD-10 CM & PCS coding and related guidelines.
• Strong MS Office skills and data handling capabilities.

Responsibilities

• Select and sequence ICD-10 CM and PCS codes for designated inpatient types.
• Review and analyze clinical records to ensure accurate MS-DRG assignments.
• Abstract clinical data to support diagnoses, procedures and discharge disposition.
• Complete assigned work functions using established resources.
• Serve as a resource for client staff on coding practices and provider queries.
• Maintain confidentiality in compliance with HIPAA.
• Participate in meetings, trainings, and calls as required.
• Keep current with ICD-10 CM/PCS knowledge and coding regulations.
• Engage in continuing education to maintain credentials.
• Support the Compliance Program and report any concerns.
• Perform other related duties as assigned.

Skills

Pre-employment assessment

MS Office proficiency

Interpersonal skills

Education

AHIMA/AAPC credential (RHIA/RHIT/CCS/COC/CCS-P/CPC/CPC-H)

Tools

None

Job description

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

JOB SUMMARY

The Coder will review clinical documentation to assign and sequence diagnostic and procedural codes for Facility Inpatient records to meet the needs of hospital data retrieval for billing and reimbursement. Coder validates MS-DRG calculations to accurately capture the diagnoses and procedures documented in the clinical record. Coder performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory compliance requirements. Coder may interact with client staff and providers.

JOB ACCOUNTABILITIES

• Select and sequence ICD-10 CM and PCS codes for designated patient types which may include but is not limited to: Acute Facility Inpatient for Non-Teaching Level facilities.
• Review and analyze clinical records to ensure that MS-DRG assignments accurately reflect the diagnoses/procedures documented in the clinical record.
• Abstract clinical data from the record after documentation review to ensure that it is adequate and appropriate to support diagnoses, procedures and discharge disposition is selected.
• Complete assigned work functions utilizing appropriate resources.
• May act as a resource with client staff for data integrity, clarification and assistance in understanding and determining appropriate and compliant coding practices including provider queries.
• Maintain strict patient and provider confidentiality in compliance with HIPPA
• Participate in client and staff meetings, trainings, and conference calls as requested and/or required.
• Maintain current working knowledge of ICD-10 CM and PCS and coding guidelines, government regulations, protocols, and third-party requirements regarding coding and/or billing.
• Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials.
• Support Savista’s Compliance Program by demonstrating adherence to all relevant compliance policies and procedures as evidenced by in-service attendance and daily practice; notifying management when there is a compliance concern or incident; demonstrating knowledge of HIPAA Privacy and Security Regulations as evidenced by appropriate handling of patient information; promoting confidentiality and using discretion when handling patient and/or client information.
• Perform other related duties as assigned or requested.

QUALIFICATIONS

• Required: Candidates must successfully pass pre-employment skills assessment.
• An active AHIMA (American Health Information Association) credential including but not limited to RHIA, RHIT, CCS or an active AAPC (American Academy of Professional Coders) credentials COC (formerly CPC-H), CCS-P, or CPC or related specialty credential.
• Two (2) years of recent and relevant hands-on coding experience with all record types: Acute Inpatient Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, as well as ICD-10 CM & PCS code sets.
• Ability to consistently code at 95% threshold for both accuracy and quality while maintaining client-specific and/or Savista production and/or quality standards
• Proficient computer knowledge including basic MS Office knowledge.
• Basic MS Office knowledge includes data entry, sort, filter, copy, paste and password protect functions in Excel and/or Word programs.
• Basic MS Outlook knowledge is opening and responding to emails and accepting and scheduling meetings using the Outlook calendar.
• Must display excellent interpersonal and problem-solving skills with all levels of internal and external customers

SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.