Medical Coder

TPI Global Solutions; United States; On-site; USD 70,000 - 100,000; Full time

Job summary

TPI Global Solutions is seeking an Inpatient Coder III in the United States. You will review complex inpatient records, apply ICD-10-CM/PCS coding, and ensure accurate reimbursement while supporting audits and process improvements.

You will interact with physicians and HIM colleagues to resolve documentation gaps, mentor junior coders, and contribute to data integrity and quality reporting across the organization.

Qualifications

• Associate Degree in Health Information Technology (HIT).
• At least 5 years of direct inpatient coding experience in the same role or function.
• At least 5 years of healthcare experience in the industry.
• At least 5 years in the same work environment (hospital, practice, department/division).
• At least 5 years of technical/systems experience using specialized tools, software, or equipment.

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 guidelines and escalation pathways.
• Support departmental performance through audits, quality assurance activities, and process improvement initiatives.
• Provide guidance and informal mentoring to junior coders and new team members.

Job description

The Inpatient Coder III 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, the Inpatient Coder III contributes to audits, continuous improvement efforts, and team development while helping strengthen healthcare outcomes across the communities UHS serves.

Job Responsibilities

Essential Functions:

• 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

Scope and Impact:

• 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

Compliance and Professional:

• Maintain required certifications and coding credentials in accordance with organizational and regulatory requirements
• Adhere to HIPAA, coding guidelines, payer regulations, and internal policies to ensure confidentiality and compliance
• Complete required training, education, and competency validations within established timelines
• Safeguard sensitive data by following established security policies and procedures, using systems responsibly, and promptly reporting potential security incidents, risks, or policy violations
• As applicable to your role, support cybersecurity and data protection requirements throughout the supplier lifecycle by coordinating vendor risk assessments, monitoring third-party compliance, and promptly reporting identified supply chain or cybersecurity risks

Additional Expectations:

• Demonstrate Values of Compassion, Trust, Respect, Teamwork, and Innovation in all daily work and interactions
• Execute responsibilities in accordance with organizational policies, procedures, and applicable regulations
• Perform additional responsibilities as required to meet department and organizational needs

Position Qualifications

Required:

• Associate Degree in Health Information Technology (HIT)
• At least 5 years of direct experience performing the exact or very similar duties required by the job within the same role or function
• At least 5 years of healthcare experience working in the healthcare industry in any job function
• At least 5 years of experience in the same work environment or setting (hospital, practice, department/division)
• At least 5 years of technical/systems experience using specialized tools, software, or equipment required for the role

Preferred:

• Bachelor’s Degree in Health Information Management (HIM)
• AHIMA Registered Health Information Administrator (RHIA) certification