Inpatient Coder

Wmchealth; City of Kingston (NY); On-site; USD 61,000 - 86,000; Full time

Job summary

Margaretville Hospital in Kingston, NY seeks an Inpatient Coder to code inpatient and outpatient accounts, abstract data, and coordinate medical records with the coding and analysis teams. The role requires 1+ year in a Medical Records/HIM setting and strong ICD-10-CM/PCS and CPT-4 coding knowledge.

Certification or progress toward CCS, CPC, RHIT, or RHIA is preferred. Proficiency with Paragon and U.D.S. is expected, with excellent attention to detail and communication with physicians.

Qualifications

• 1+ year experience in Medical Records/HIM department, physician's office, or related health care setting.
• High School Diploma or equivalent required; an Associate's degree preferred in Medical Records/related field.
• Certified or working toward CCS/CCS-P/CPC/COC/RHIT/RHIA or equivalent certifications are preferred.

Responsibilities

• Review and evaluate each medical record for appropriate ICD-10-CM diagnosis code(s), identifying principal and secondary diagnoses.
• Review and evaluate each medical record for ICD-10-PCS procedure codes as applicable.
• Review and evaluate each medical record for CPT-4 procedure codes as applicable.
• Abstract and enter accurately in U.D.S. and Paragon; assist abstractors and correct errors in inpatient abstracting.
• Evaluate selected DRG to ensure appropriate CCs are captured if applicable.
• Maintain rapport with physicians; consult for coding/clinical issues and participate in inservices.
• Participate in coding audits/PI monitors; work with Coding Manager to track and develop corrective actions.
• Demonstrate ability to use computer systems and Paragon/UDS effectively.

Skills

Medical Records

HIM knowledge

ICD-10-CM coding

ICD-10-PCS coding

CPT-4 coding

Attention to detail

Education

High School Diploma or Equivalent

Associate's Degree in Medical Records Technology

Certified Coding Specialist (CCS) or CCS-P or CPC or COC or RHIT or RHIA (or pursuing)

Tools

Paragon

U.D.S.

Job description

Inpatient Coder

Company: Margaretville Hospital

City/State: Kingston, NY

Category: Professional/Non-Clinical

Department: Medical Records

Union: No

Position: Per Diem

Hours: M-Su prn

Shift: All Shifts

Req #: 48665

Posted Date: Oct 05, 2026

Hiring Range: $53.370/hr

Job Details:

Job Summary Codes and abstracts inpatient accounts and outpatient accounts as needed. Assists with abstracting other outpatient accounts and coordinates the flow of medical records between the coding staff and the analysis staff as needed. Responsibilities

• Review and evaluate each medical record for appropriate assignment of ICD-10-CM diagnosis code(s). Accurately identifies principle diagnosis and all secondary diagnosis.

• Review and evaluate each medical record for appropriate assignment of ICD-10-PCS procedure code(s), as applicable.

• Review and evaluate each medical record for appropriate assignment of CPT-4 procedure code(s) as applicable.

• Abstract and enter accurately all information in both U.D.S. and Paragon. Assist abstractors in the accuracy of the entries, notify supervisor of any problems with the data entry function. Review inpatient abstracting and correct errors.

• Evaluate selected DRG ensuring appropriate cc are captured if applicable.

• Maintain professional rapport with physicians; contact physicians in questionable cases, suggest inservices, attend inservices given by physicians, ask questions, assist physicians in clarifying coding/clinical issues.

• Participate in coding audits/PI monitors to ensure quality of coding and abstracting. Work with Coding Manager to track/trend the data. Work with the coding team to brainstorm and develop corrective action plans.

• Demonstrate the ability to utilize computer systems for maximum efficiency. Knowledgeable about menus and reports available through Paragon system. Demonstrate ability to utilize all the software programs including U.D.S. and Paragon

Qualifications/Requirements

EXPERIENCE 1 or more years working in a Medical Records/HIM Department, Physician's office, or similar health care experience required. EDUCATION High School Diploma or Equivalent required Associate's Degree in Medical Records Technology, Nursing, or other related field preferred LICENSES/CERTIFICATIONS Medical Terminology and Coding courses required Advanced Medical Terminology and Anatomy/Physiology and knowledge of automated coding/abstracting systems preferred Certified or working toward one or more of: Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P) Certified Professional Coder (CPC), Certified Outpatient Coder (COC) Registered Health Information Technologist (RHIT) or Registered Health Information Administrator (R.H.I.A.). OTHER Working knowledge of computer systems especially PCs and networked environments. Knowledge of alphabetical, numeric, and terminal digit filing systems. Ability to interact with all levels of hospital personnel especially the medical staff. Basic administrative skills (filing, data entry, answering telephone) required.

About Us:

Margaretville Hospital

Margaretville Hospital, in Margaretville, NY, is home to Delaware County's most advanced critical-care access hospital. This 15-bed facility cares for more than 240 inpatients annually while performing 14,000 outpatient procedures each year. Margaretville Hospital was named one of the top 100 critical-access hospitals in the nation by the National Rural Health Association. It provides emergency care, ambulatory care services, laboratory testing, medical imaging, physical and occupational therapy, swing-bed rehabilitation programs, respite care, and board-certified specialist and wellness education.