Senior Medical Coder – Inpatient/DRG Expert

Cape Fear Valley Health; Fayetteville, Northern (NC, KY); Hybrid; USD 60,000 - 85,000; Full time

Job summary

Cape Fear Valley Medical Center in Fayetteville, NC seeks an experienced Health Information Management coder. The role focuses on accurate coding of diagnoses and procedures, ensuring documentation justifies principal diagnoses and supports DRG assignments for revenue integrity.

The position requires knowledge of UHDDS, ICD-CM coding principles, and collaboration with Clinical Documentation and Reimbursement Specialists to improve physician documentation and claim submissions.

Qualifications

• Proficiency in reading, writing, and speaking English.
• Medical terminology, anatomy and physiology, UHDDS definitions.
• Knowledge of ICD-CM coding principles under Prospective Payment System.

Responsibilities

• Code diagnoses, treatments, and procedures according to classification systems.
• Perform medical record abstraction for reimbursement and statistics.
• Code LTAC, Rehab and acute care inpatients per payer requirements with encoder/DRG grouper.
• Explain diagnosis changes to physicians when records may be reviewed.

Skills

English language proficiency

Medical terminology

Anatomy and physiology

UHDDS knowledge

ICD-CM coding principles

Communication skills

Attention to detail

Education

Bachelor's degree in Health Information Management

RHIA/RHIT/CCS credentials

Job description

Cape Fear Valley Medical Center in Fayetteville, NC seeks an experienced Health Information Management coder. The role focuses on accurate coding of diagnoses and procedures, ensuring documentation justifies principal diagnoses and supports DRG assignments for revenue integrity.

The position requires knowledge of UHDDS, ICD-CM coding principles, and collaboration with Clinical Documentation and Reimbursement Specialists to improve physician documentation and claim submissions.