Inpatient Coder

The inpatient coder is responsible for reviewing inpatient medical records and assigning accurate diagnosis and procedure codes. Ensures compliance with coding standards, payer policies, and regulatory guidelines to support timely and correct reimbursement. Works closely with clinical documentation and billing teams to uphold the integrity of patient records.

• Review and analyze inpatient medical records to accurately abstract diagnoses, procedures, and services.
• Assign appropriate ICD-10-CM and ICD-10-PCS codes, as well as DRG assignments, according to official coding guidelines.
• Ensure accurate and compliant code assignment for all inpatient encounters to support proper reimbursement.
• Work collaboratively with physicians and clinical documentation specialists to clarify documentation and resolve coding discrepancies.
• Utilize an Electronic Health Record (EHR) and coding software to perform coding tasks and maintain accurate records.
• Maintain a high level of accuracy and productivity, meeting established quality and production standards.
• Stay up-to-date with coding guidelines, regulatory changes, and payer rules related to inpatient coding.
• Collaborate with the revenue cycle team to address coding-related claim denials and answer questions about outstanding accounts.

• Certified Inpatient Coder (CIC) or Certified Coding Specialist (CCS) certification is preferred.
• Associate’s or Bachelor’s degree in Health Information Management or a related field is preferred.
• Minimum of 3-5 years of inpatient medical coding experience.

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