Inpatient Medical Coder 3

The Ohio State University Wexner Medical Center; United States; Remote; USD 65,000 - 90,000; Full time

Job summary

The Ohio State University Wexner Medical Center is seeking an Inpatient Medical Coder 3 for a remote position. The coder will perform retrospective coding of inpatient records using ICD-10-CM/PCS, assign DRGs, and abstract data elements critical to reimbursement and reporting.

Requires 2+ years inpatient coding experience and credentials (RHIT, RHIA, or CCS). Collaboration with CDI and revenue cycle partners is essential to ensure accuracy and compliance.

Qualifications

• HS diploma or GED required.
• RHIT, RHIA or CCS credentialed.
• 2+ years inpatient hospital coding experience with ICD-10-CM/PCS and DRG assignment.
• 4-6 years inpatient coding experience preferred.

Responsibilities

• retrospectively code inpatient records at discharge with accurate ICD-10-CM/PCS coding.
• Assign principal and secondary diagnoses and appropriate DRGs (MS-DRG/APR-DRG).
• Abstract required data elements (admission source/type, discharge disposition, attending physicians).
• Collaborate with CDI specialists, physician advisors, and revenue cycle partners to ensure compliant coding.

Education

RHIT

RHIA

CCS

Tools

CAC tools

Encoder tools

Job description

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Inpatient Medical Coder 3

Department: Health System Shared Services | MIM CDI and Coding Remote Position Scope of Position Inpatient Coding Services assigns diagnosis and procedural codes to inpatient medical records to support accurate reimbursement, regulatory compliance, and enterprise data reporting across a large academic medical center. ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes are applied to all inpatient encounters. Medical record abstract data is captured based on clinical documentation reviewed for accuracy within the electronic health record during the coding process.

Position Summary

This position is responsible for retrospective coding of inpatient medical records at the conclusion of the patient’s admission, ensuring complete, accurate, and compliant code assignment in accordance with federal regulations and official coding guidelines. The role requires advanced expertise in inpatient coding practices, including selection of the admitting diagnosis, principal and secondary diagnoses, and assignment of principal and secondary ICD-10-PCS procedures. The position is responsible for accurate ICD-10-CM and ICD-10-PCS code assignment, appropriate sequencing of diagnoses and procedures, and abstraction of required data elements, including admission source, admission type, discharge disposition, and attending and procedural physicians. Codes are assigned using computer-assisted coding (CAC) and encoder tools following comprehensive review of the electronic medical record. This position is responsible for resolving all system and coding edits during the coding and abstraction process and ensuring accurate MS-DRG and APR-DRG assignment to support compliant hospital reimbursement. The role requires a strong understanding of DRG methodology, including severity of illness (SOI) and risk of mortality (ROM), and the impact of coding on quality outcomes, case mix index (CMI), and reimbursement. The position collaborates with Clinical Documentation Integrity (CDI) specialists, physician advisors, and revenue cycle partners to clarify documentation, support denial prevention efforts, and ensure adherence to coding guidelines and regulatory requirements. This staff member is accountable for maintaining departmental productivity and quality standards, adhering to an approved work schedule, and completing required workload tracking.

Minimum Required Qualifications

High School diploma or GED required.

Credentialed as one of the following:

• Registered Health Information Technician (RHIT)
• Registered Health Information Administrator (RHIA)
• Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA)

A minimum of two (2) years of inpatient hospital coding experience required, including ICD-10-CM/PCS code assignment and DRG assignment.

Four (4) to six (6) years of inpatient coding experience preferred.

Additional Information

Additional Information: Location: Remote Location Position Type: Regular Scheduled Hours: 40 Shift: First Shift Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.

The university is an equal opportunity employer, including veterans and disability.

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• Medical, dental and vision coverage, with Ohio State paying a significant portion of the cost.
• Paid time off, including sick and vacation time and 11 holidays.
• State retirement plan or an alternative retirement plan, both with generous employer contributions.

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