Inpatient Coder & DRG Validation Expert

Acentra Health; United States; On-site; USD 40,000 - 50,000; Full time

Benefits offered by this job

Health insurance

Paid time off

Retirement savings

Wellness programs

Educational assistance

Employee discounts

Job summary

Acentra Health is seeking a Medical Coder to review inpatient medical records for accurate diagnosis and procedure coding using ICD-10-CM/PCS. The role evaluates DRG assignments, reimbursement impact, and regulatory compliance in line with official guidelines and payer policies.

Responsibilities include auditing medical records, validating sequencing, and ensuring documentation supports reported diagnoses. Strong attention to detail and knowledge of CMS rules are required.

Qualifications

• High school diploma or GED.
• Minimum of 2 years of acute care inpatient coding experience or related healthcare documentation experience.
• Active certification: CCS/CCA/CDIP or CPMA/CRC/CIC/CDEI or CCDS.
• Proficiency in ICD-10-CM/ICD-10-PCS.
• Knowledge of inpatient coding guidelines, DRG methods, CMS and payer regulations.
• Strong attention to detail and communication skills.

Responsibilities

• Review inpatient medical records and accurately code primary/secondary diagnoses and procedures using ICD-10-CM/PCS.
• Validate MS-DRG assignments based on documented conditions and coding rules.
• Ensure documentation supports diagnoses with reimbursement, quality, or compliance impact.
• Apply CMS regulations and medical necessity criteria in evaluation of admission status and level of care.
• Document audit findings clearly and communicate coding discrepancies or risk.

Job description

Acentra Health is seeking a Medical Coder to review inpatient medical records for accurate diagnosis and procedure coding using ICD-10-CM/PCS. The role evaluates DRG assignments, reimbursement impact, and regulatory compliance in line with official guidelines and payer policies.

Responsibilities include auditing medical records, validating sequencing, and ensuring documentation supports reported diagnoses. Strong attention to detail and knowledge of CMS rules are required.