Inpatient Coder

Client Growth Resources, Inc; Las Vegas (NV); Presencial; USD 70.000 - 100.000; Jornada completa

Descripción de la vacante

FusionHCR seeks an experienced Inpatient Coder to accurately code inpatient medical records, supporting reimbursement, data integrity, and regulatory reporting. The role requires 3+ years in acute-care hospital coding with CCS/RHIA/RHIT credentials preferred and proficiency in MS-DRG and ICD coding systems.

This in-person position is based in Las Vegas, NV, with responsibilities spanning data analysis, trend identification, and collaboration with multiple departments to resolve coding issues and

Formación

• Minimum 3 years inpatient coding experience in an acute-care hospital.
• Strong knowledge of ICD-10-CM/PCS, CPT, HCPCS, and ICD-9-CM code sets.
• Familiarity with MS-DRG classification and reimbursement methodologies.
• Proficiency with EHR systems and revenue cycle workflows.

Responsabilidades

• 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.

Conocimientos

Inpatient coding

Code abstraction

Data analysis

Denials review

Communication

Attention to detail

Educación

High school diploma or equivalent

Herramientas

3M 360 encoder

Descripción del empleo

Inpatient Coder

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 elevate 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)

• Registered Health Information Technician (RHIT)

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.

This is an in person position located in Las Vegas, NV.