Inpatient Coding Specialist III - DRG & Compliance Expert

Bryan Health; Kearney (NE); On-site; USD 65,000 - 90,000; Full time

Job summary

Bryan Health is seeking an experienced Inpatient Coder to review complex medical records, assign accurate diagnoses and procedures, and ensure compliant reimbursement. You will apply MS-DRG/APR-DRG methodologies and POA indicators while maintaining high data quality in our EHR systems.

The role requires 2 years of inpatient coding experience and formal ICD-10-CM/CPT coursework, with ongoing education and mentoring responsibilities within the Coding Department.

Qualifications

• Requires high school diploma or equivalent and formal ICD-10-CM, CPT coding coursework.
• 2 years inpatient coding experience with high-complexity cases; strong knowledge of ICD-10-CM/PCS, MS-DRG/APR-DRG, POA indicators, quality reporting.

Responsibilities

• Review complex inpatient records to assign accurate codes.
• Determine principal and secondary diagnoses, procedures, POA indicators and discharge dispositions.
• Apply MS-DRG and APR-DRG methodologies for compliant reimbursement and outcomes.
• Enter coded data into designated systems meeting accuracy, productivity, and turnaround standards.
• Query providers to clarify documentation and resolve coding edits and discrepancies.
• Support coding audits, peer reviews and quality assurance activities for compliance and accuracy.
• Educate providers and team members on coding rules and documentation standards.
• Mentor and train coding staff to improve knowledge and consistency.
• Maintain confidentiality and adhere to regulatory requirements.
• Pursue ongoing professional growth through seminars and affiliations.

Skills

Inpatient coding

MS-DRG/APR-DRG

POA indicators

EHR proficiency

Education

High school diploma

ICD-10-CM/CPT coursework

Tools

EHR systems

Job description

Bryan Health is seeking an experienced Inpatient Coder to review complex medical records, assign accurate diagnoses and procedures, and ensure compliant reimbursement. You will apply MS-DRG/APR-DRG methodologies and POA indicators while maintaining high data quality in our EHR systems.

The role requires 2 years of inpatient coding experience and formal ICD-10-CM/CPT coursework, with ongoing education and mentoring responsibilities within the Coding Department.