Inpatient Coder

Savista; California; On-site; USD 65,000 - 85,000; Full time

Job summary

Savista is seeking a Healthcare Coder to review clinical documentation and assign ICD-10-CM and PCS codes for Facility Inpatient records. The role ensures accurate MS-DRG calculations and compliant data abstraction to support billing and regulatory requirements.

The coder will maintain up-to-date knowledge of coding guidelines, collaborate with client staff for data integrity, and adhere to Savista’s Compliance Program. Two years of coding experience and AHIMA/AAPC credentials are preferred.

Qualifications

• Two years of hands-on coding experience with all record types.
• Familiarity with ICD-10-CM & PCS coding systems.
• Ability to code at 95% accuracy while meeting quality standards.
• Proficient in basic MS Office (Excel/Word).

Responsibilities

• Review and analyze clinical records to ensure MS-DRG assignments reflect diagnoses and procedures.
• Abstract clinical data from records to support diagnoses and discharge disposition.
• Serve as a resource for data integrity and compliant coding practices.
• Maintain current knowledge of ICD-10-CM/PCS, regulations, and third-party requirements.
• Support the Compliance Program through adherence to policies and daily practice.

Skills

Medical terminology

Attention to detail

Communication skills

Problem solving

Education

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

Tools

MS Office

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).

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. 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.
• 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 current working knowledge of ICD-10 CM and PCS and coding guidelines, government regulations, protocols, and third-party requirements regarding coding and/or billing.
• Support Savista’s Compliance Program by demonstrating adherence to all relevant compliance policies and procedures as evidenced by in-service attendance and daily practice; 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: 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. 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.