Inpatient Coder

Job Juncture; Las Vegas (NV); On-site; USD 70,000 - 100,000; Full time

Job summary

FusionHCR is seeking an experienced Inpatient Coder to provide expert coding of inpatient medical records that supports accurate reimbursement, clinical data integrity, research, utilization review, and regulatory reporting. The role requires strong knowledge of ICD-10-CM/PCS, CPT, HCPCS, MS-DRG, and related guidelines.

The coder will review complex records, identify opportunities for improvement, monitor trends, and address denials while ensuring compliance with HIPAA and hospital policies.

Qualifications

• Must hold one of: CCS or RHIA certification.
• High school diploma or equivalent.
• Minimum 3 years inpatient coding experience in an acute-care hospital setting.
• Knowledge of inpatient coding guidelines and reimbursement methodologies.

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.
• Maintain confidentiality of patient and organizational information.
• Work independently with attention to detail and accuracy.
• Communicate coding issues, findings, and recommendations to stakeholders.
• Establish and maintain relationships across departments.

Skills

ICD-10-CM/PCS

CPT

HCPCS

MS-DRG

EHR systems

Revenue cycle

Medical terminology

Education

High school diploma

Tools

3M 360

Job description

FusionHCR is seeking an experienced Inpatient Coderresponsible 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 expire 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 of3 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 andIPPS 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 establishedquality 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.

Utilize3M 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.

This is an in person position located in Las Vegas, NV. No remote considered.