Inpatient Coder

Fusion HCR; Las Vegas (NV); Sur place; USD 70 000 - 100 000; Plein temps

Résumé du poste

FusionHCR is seeking an experienced Inpatient Coder to deliver expert coding of inpatient medical records, supporting accurate reimbursement, data integrity, and regulatory reporting.

The role requires 3+ years in an acute‑care setting, CCS or RHIA certification, proficiency with ICD-10-CM/PCS, CPT, HCPCS, and familiarity with 3M 360 or similar encoders.

Strong attention to detail, auditing, and communication with clinical teams are essential.

Qualifications

• High school diploma or equivalent.
• Minimum of 3 years inpatient coding experience in an acute-care hospital setting.
• CCS or RHIA certification required.

Responsabilités

• Accurately code and abstract inpatient medical records.
• Review documentation for completeness, consistency, and coding accuracy.
• Identify coding discrepancies, trends, and opportunities for improvement.
• Review coding-related denials and perform appropriate follow-up.
• Perform data collection, manipulation, retrieval, and analysis.
• Run queries and prepare technical reports.
• Utilize 3M 360 or similar encoder systems.
• Maintain confidentiality of patient information.
• Communicate findings and recommendations to stakeholders.

Connaissances

Attention to detail

Analytical thinking

Medical terminology

Communication skills

Confidentiality

Independent work

Formation

High school diploma or equivalent

CCS

RHIA

Outils

3M 360 Encoder

Description du poste

FusionHCR is seeking an experienced Inpatient Coder responsible for the expert coding of inpatient medical records to support accurate reimbursement, clinical data integrity, research, utilization review, and regulatory reporting.

The Inpatient Coder will review and code complex inpatient medical records, identify coding opportunities, recommend improvements, monitor coding trends, and escalatory discrepancies as appropriate. This position requires strong knowledge of inpatient coding guidelines, reimbursement methodologies, and acute‑care hospital coding practices.

Education & Experience

High school diploma or equivalent.

Minimum of 3 years of inpatient coding experience in an acute‑care hospital setting.

Required Certification

Candidates must possess at least one of the following:

Certified Coding Specialist (CCS)

Registered Health Information Administrator (RHIA)

Key Knowledge & Expertise

ICD-10-CM/PCS, CPT, HCPCS, and ICD-9-CM code sets.

Medicare inpatient hospital and IPPS reimbursement regulations.

MS-DRG classification and reimbursement methodology.

Current inpatient coding guidelines and healthcare regulations.

Electronic Health Record (EHR) systems and healthcare technology.

Revenue cycle workflows, including charges/charge master, code edits, auditing, denials management, and clinical documentation improvement.

Medical terminology, anatomy and physiology, disease processes, and surgical procedures.

Applicable healthcare laws, regulations, patient confidentiality requirements, and hospital policies.

Skills & Responsibilities

Accurately code and abstract inpatient medical records while meeting established quality and productivity standards.

Review medical documentation for completeness, consistency, and coding accuracy.

Identify coding discrepancies, trends, and opportunities for improvement.

Review coding-related denials and perform appropriate follow-up.

Perform data collection, manipulation, retrieval, and analysis.

Run queries and prepare technical reports.

Utilize 3M 360 or similar integrated encoder/computer-assisted coding systems.

Maintain strict confidentiality of patient and organizational information.

Work independently while maintaining a high level of attention to detail and accuracy.

Effectively communicate coding issues, findings, and recommendations to appropriate stakeholders.

Establish and maintain effective working relationships across departments.