INPATIENT MEDICAL CODER

About the role

The Certified Inpatient Coder reviews medical record documentation and accurately assigns appropriate ICD-10 diagnoses and ICD-10 PCS procedure codes, leading to the assignment of the correct Medicare Severity-Diagnosis Related Group (MS-DRG) or All Patient Refined Diagnosis Related Group (APR-DRG). The role involves abstracting required data per facility specifications, monitoring and working on accounts that are Discharged Not Final Billed, failed claims, and stop bills to ensure timely, compliant processing of inpatient accounts through the billing system.

Key responsibilities

• Review medical record documentation and accurately assign appropriate ICD-10 diagnoses and ICD-10 PCS procedure codes
• Assign the correct Medicare Severity-Diagnosis Related Group (MS-DRG) or All Patient Refined Diagnosis Related Group (APR-DRG)
• Abstract required data per facility specifications
• Monitor and work on accounts that are Discharged Not Final Billed, failed claims, and stop bills
• Ensure timely, compliant processing of inpatient accounts through the billing system
• Ensure accuracy and maintain established quality, productivity standards, and key performance indicators for 3M 360 or eCAC
• Remain current with Centers for Medicare and Medicaid Services (CMS) requirements, Correct Coding Initiative (CCI) edits, Hospital Acquired Conditions (HACs), National Coverage Determinations (NCDs), and Local Coverage Determinations (LCDs)
• Add appropriate modifiers to ensure clean claims on first submission

About you

• Minimum of 3 years of recent academic hospital experience
• 3+ years of recent Epic and Solventum (3M) experience
• Professional coding experience in inpatient encounters
• CCS, RHIT, or RHIA certification required (CIC may be considered if all other experience requirements are met)
• Demonstrated knowledge of medical codes, coding conventions, rules, and ICD-10
• Demonstrated experience with coding systems
• Working knowledge of HIPAA Privacy and Security Rules
• Ability to multi-task in a fast-paced working environment
• Ability to work independently in a production environment
• Proficiency in Google Workspace

Benefits

• Competitive salary
• Career growth opportunities
• Sign-on bonus
• HMO coverage plus free dependent
• Day shift schedule