Inpatient Medical Coder 3

The Ohio State University; United States; Remote; USD 70,000 - 90,000; Full time

Job summary

The Ohio State University is seeking an Inpatient Medical Coder 3 for its Health System Shared Services, MIM CDI and Coding. This remote position focuses on retrospective coding of inpatient records, applying ICD-10-CM/PCS codes, and ensuring accurate DRG assignments within federal guidelines.

Qualified candidates will have a minimum of two years inpatient coding experience, HH diploma or RHIT/RHIA/CCS credentials, with 4–6 years preferred.

Qualifications

• High School diploma or GED required.
• Credentialed as RHIT, RHIA, or CCS through AHIMA.
• A minimum of two (2) years of inpatient hospital coding experience including ICD-10-CM/PCS and DRG assignment.
• Four (4) to six (6) years of inpatient coding experience preferred.

Responsibilities

• Retrospective coding of inpatient medical records at discharge to ensure complete, accurate code assignment.
• Assign ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes and perform DRG/APR-DRG assignment.
• Abstract required data elements (admission source/type, discharge disposition, attending/procedural physicians).
• Resolve coding edits using CAC and encoder tools; ensure regulatory compliance and quality.
• Collaborate with CDI specialists, physician advisors, and revenue cycle partners to clarify documentation and reduce denials.

Education

High School diploma or GED

RHIT

RHIA

CCS (AHIMA)

Job description

Job Title:

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:

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.