Inpatient Coding Validator: Quality & Compliance

Beth Israel Lahey Health; Boston (MA); On-site; USD 40,000 - 64,000; Full time

Job summary

Beth Israel Lahey Health is seeking a Coding Validator I to perform quality reviews of inpatient records and validate ICD-10-CM/PCS, CPT, DRG or APC codes for accuracy and compliance. Under supervision of the Director of Coding, you will conduct pre-bill reimbursement audits, provide educational feedback, and collaborate with the HIM/CDIS teams to improve coding quality and fiscal outcomes.

You will work with EHR systems and 3M CAC tools, attend meetings, and participate in coding-related

Qualifications

• Proficient in medical terminology and coding guidelines.
• Experience with ICD-10-CM/ICD-10-PCS in inpatient coding.
• Familiarity with EHR systems and structured data.
• Knowledge of HIPAA and patient confidentiality requirements.
• Ability to write clear, compliant retro coding queries.
• Proficient in MS Office (Excel, Word, PowerPoint).
• Strong communication and teamwork skills.

Responsibilities

• Performs pre-bill reimbursement audits to ensure accurate coding.
• Provides educational feedback to staff on coding and reimbursement changes.
• Performs Patient Safety Indicators and Hospital-Acquired Condition reviews.
• Conducts focused DRG audits and answers inpatient coding questions.
• Collaborates with HIM CDIS and clinical staff to improve processes.
• Works with EHR and 3M CAC tools; tests system specifications.
• Attends meetings and participates in coding projects to support timely billing.

Skills

Medical terminology

Microsoft Office (Excel, Word, PowerP

Strong written communication

EHR knowledge

HIPAA / patient confidentiality

ICD-10-CM/ICD-10-PCS knowledge

Coding quality and accuracy

Education

Associate degree in Health Information Management

AHIMA or AAPC Coding Certification

RHIA/RHIT/CCS or CIC certification

Tools

3M-360 Computer Assisted Coding

Job description

Beth Israel Lahey Health is seeking a Coding Validator I to perform quality reviews of inpatient records and validate ICD-10-CM/PCS, CPT, DRG or APC codes for accuracy and compliance. Under supervision of the Director of Coding, you will conduct pre-bill reimbursement audits, provide educational feedback, and collaborate with the HIM/CDIS teams to improve coding quality and fiscal outcomes.

You will work with EHR systems and 3M CAC tools, attend meetings, and participate in coding-related