Job Summary
The individual in this role plays a key role in ensuring the accuracy, integrity, and quality of complex inpatient coding. Using advanced ICD-10-CM/PCS expertise, this position supports compliant coding practices, appropriate reimbursement, and reliable data that informs patient care and organizational performance. Working closely with physicians, HIM partners, and coding colleagues, this role contributes to audits, continuous improvement efforts, and team development while helping strengthen healthcare outcomes across the communities served.
Job Responsibilities
- Review and code complex inpatient medical records using ICD 10 CM and ICD 10 PCS to ensure accurate clinical representation and compliant reimbursement.
- Analyze clinical documentation to identify diagnoses, procedures, comorbidities, and complications impacting DRG assignment and data integrity.
- Apply advanced coding knowledge to resolve complex scenarios while meeting established productivity and accuracy standards.
- Initiate and respond to provider documentation queries to support complete, clear, and compliant medical records.
- Utilize coding systems, encoder tools, and EHR platforms to support timely and accurate inpatient coding workflows.
- Contribute directly to revenue integrity, compliance, and quality reporting through precise inpatient coding and documentation review.
- Exercise independent judgment to resolve non-routine and complex coding issues within established guidelines and escalation pathways.
- Support departmental performance through participation in audits, quality assurance activities, and process improvement initiatives.
- Provide guidance and informal mentoring to junior coders and new team members, supporting skill development and consistency.
Required Skills & Experience
- At least five (5) years of direct experience performing the exact or very similar duties required by the job within the same role or function.
- At least five (5) years of healthcare experience working in the healthcare industry in any job function.
- At least five (5) years of experience in the same work environment or setting (hospital, practice, department/division).
- At least five (5) years of technical/systems experience using specialized tools, software, or equipment required for the role.
Schedule Notes
Fully Remote
M-F 8-5
Benefits information attached.