Inpatient Coder

Wmchealth; Town of Mount Pleasant (NY); On-site; USD 55,000 - 76,000; Full time

Benefits offered by this job

Health Insurance

Dental

Vision

Retirement Savings Plan

Flexible Savings Account

Paid Time Off

Holidays

Tuition Reimbursement

Job summary

NorthEast Provider Solutions Inc. is seeking an Inpatient Coder in Valhalla, NY. The role involves coding inpatient records using ICD for diagnoses and procedures, and entering data into the automated grouper system.

Responsibilities include ensuring DRG accuracy, contacting staff for clarifications, and producing reports from medical records. Candidates typically have 1–2 years of inpatient coding experience and relevant HIM certifications.

Qualifications

• Minimum 1–2 years inpatient medical records coding experience.
• Current CCS/CCS-P or CPC certification.
• High school diploma; associate/bachelor in HIM may substitute for experience.

Responsibilities

• Code inpatient records using ICD coding for diagnoses and procedures.
• Ensure DRG accuracy by ranking diagnoses correctly.
• Clarify information with hospital staff as needed.
• Enter final diagnostic codes and narratives into the grouper system.
• Provide information to staff and respond to inquiries about medical documentation and DRGs.
• Abstract information from records to compile reports and statistics.

Education

High school diploma or equivalency

Associate’s or Bachelor's degree in health information management

Job description

Inpatient Coder

Company: NorthEast Provider Solutions Inc.

City/State: Valhalla, NY

Category: Clerical/Administrative Support

Department: Health Info Mgmt-WMC Health

Union: No

Position: Full Time

Hours: 80

Shift: Day

Req #: 49194

Posted Date: Oct 20, 2026

Hiring Range: $39.66 - $54.97

Job Details:

The Coder is responsible for coding medical records, including all diagnoses and operative and diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD) for diagnoses and procedures, and entering coded information into an automated grouper system. Does related work as required.

Responsibilities:

• Using the current ICD coding systems for diagnoses and procedures, assigns and records an accurate code to all diagnoses, procedures, and operations as documented by the attending physician in the indicated patient's medical record.
• Ensures that all factors necessary for assigning an accurate DRG are present, and that all diagnoses are ranked properly.
• Makes appropriate contacts in order to acquire or clarify necessary information.
• Enters final diagnostic code numbers and narrative descriptions of diagnoses and procedures into an automated grouper system.
• Provides information to and responds to inquiries regarding medical documentation and DRG'S from hospital staff, including utilization and quality assurance staff, patient accounts staff and the Risk Manager.
• Abstracts information from medical records to compile reports and statistical information.
• Enters data such as diagnosis, treatment, admission and discharge dates, length of stay, etc., on hospital-wide or regional automated database.

Experience:

1-2 years of experience where the primary function of the position was inpatient medical records coding in or for a hospital.

Education:

High school or equivalency diploma, required. An Associate's degree or Bachelor's degree in health information management may be substituted for one year of the required experience.

Licenses / Certifications:

Current certification as either a Certified Coding Specialist (CCS) or Certified Coding Specialist-Physician Based (CCS-P) through AHIMA, or as a Certified Professional Coder (CPC) through the American Academy of Professional Coders.

Other:

Thorough knowledge of the current ICD diagnosis and procedure codes; thorough knowledge of medical terminology; thorough knowledge of the principles of the medical record system and its operation; ability to understand and code medical records; ability to communicate effectively both orally and in writing; ability to effectively use computer applications or other automated systems such as spreadsheets, word processing, calendar, e-mail and database software in performing work assignments; ability to read, write, speak, understand, and communicate in English sufficiently to perform the essential duties of the position; thoroughness; sound judgment; tact; discretion; initiative; accuracy; physical condition commensurate with the demands of the position.

About Us:

NorthEast Provider Solutions Inc.

Benefits:

We offer a comprehensive compensation and benefits package that includes:

• Health Insurance
• Dental
• Vision
• Retirement Savings Plan
• Flexible Savings Account
• Paid Time Off
• Holidays
• Tuition Reimbursement