Sr. Inpatient Coder

Centra Health; Lynchburg (VA); Hybrid; USD 55,000 - 75,000; Full time

Job summary

Centra Health in Lynchburg seeks an Hospital Inpatient Coding Specialist to assign ICD-10-CM diagnosis and ICD-10-PCS procedure codes for APR-DRG or MS-DRG reimbursement. The role emphasizes accuracy and adherence to Centra’s coding policies and guidelines.

You will collaborate with the Clinical Documentation Integrity Specialist to abstract relevant information, ensuring data integrity and proper documentation while formulating provider queries when needed.

Qualifications

• High School Diploma or equivalent.
• One or more of RHIA, RHIT, CCS, or CCA certifications.
• Minimum 2 years acute care inpatient coding experience.
• Experience coding across multiple hospital specialties; remote coding preferred.
• Proficiency in ICD-10-CM and ICD-10-PCS with competency assessments.
• Knowledge of RPPS, DRG methodologies, SOI, ROM.

Responsibilities

• Review inpatient medical records and assign ICD-10-CM diagnosis and ICD-10-PCS procedure codes for APR-DRG or MS-DRG reimbursement.
• Collaborate with the Clinical Documentation Integrity Specialist to ensure accuracy.
• Abstract pertinent information per established guidelines and formulate provider queries to clarify information.

Skills

ICD-10-CM/PCS

Inpatient coding

Medical terminology

Remote coding

Provider queries

Education

RHIA/RHIT/CCS/CCA

Tools

RPPS knowledge

DRG methodologies

Job description

The Hospital Inpatient Coding Specialist reviews inpatient medical records and assigns International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10 CM) diagnosis and International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) procedure codes that derives an All Patient Refined Diagnosis Related Group (APR-DRG) or Medical Severity Diagnosis Related Group (MS-DRG) for optimal reimbursement. The Hospital Inpatient Coding Specialist will work in collaboration with the Clinical Documentation Integrity Specialist at times to ensure accuracy consistent with Centra’s coding policies. The Hospital Inpatient Coding Specialist will abstract pertinent information according to established guidelines for the organization and will formulate provider queries to clarify information.

Required Qualifications:

• High School Diploma or equivalent
• One or more of the following certifications required: RHIA, RHIT, CCS or CCA
• Minimum of 2 years acute care inpatient coding experience required.
• Experience in coding across multiple specialties within a hospital coding environment and remote coding experience preferred.
• Demonstrated proficiency in ICD-10-CM and ICD-10-PCS by passing coding competency assessment administered before hire.
• Demonstrated proficiency in medical terminology, anatomy and physiology, and disease process by passing coding competency assessment administered before hire.
• Good working knowledge of Inpatient Prospective Payment System (RPPS), Diagnosis Related Group (DRG) methodologies, Severity of Illness (SOI), and Risk of Mortality (ROM)