Inpatient Coder
Position Overview
United Health Services (UHS) is seeking an experienced Inpatient Hospital Coder to join our Health Information Management team. In this role, you will be responsible for accurately assigning ICD-10-CM/PCS diagnosis and procedure codes for inpatient medical records, ensuring compliance with regulatory requirements and supporting timely reimbursement.
Primary Department, Division, Or Unit
Facility Coding, UHS Revenue Cycle Operations
Work Shift And Schedule
This is a per diem position, which means you will work on an as needed, agreed upon basis. Working hours will be assigned by your manager.
Compensation Range
$22.97 - $34.46 per hour, depending on experience
Job Responsibilities
- Assign ICD-10-CM and ICD-10-PCS codes to inpatient diagnoses and procedures, ensuring accurate MS-DRG or APR-DRG grouping in accordance with official guidelines and internal policies.
- Complete the appropriate number of coded records based on departmental productivity standards and accuracy requirements.
- Abstract key clinical and demographic information from patient records to support billing, quality reporting, and regulatory compliance.
- Utilize computer-assisted coding (CAC) tools, encoders, and official coding references to support consistent and accurate code selection.
- Initiate physician queries when documentation is incomplete, ambiguous, or unclear to ensure accurate code assignment and clarify clinical intent.
- Collaborate with Clinical Documentation Improvement (CDI) professionals to enhance documentation quality and identify areas for physician education.
- Remain current with updates to coding guidelines, reimbursement requirements, and regulatory standards impacting inpatient coding.
- Maintain patient confidentiality and comply with medico-legal standards, including record amendment procedures and release of information policies.
Position Qualifications
- Minimum Required: RHIA certification with a Bachelor’s Degree in HIM; OR RHIT certification with an Associate’s Degree in HIM; OR CCS certification.
- RHIT credentials must be received within 6 months of start date.
- CCS credentials must be received within one year of start date.
- Six months of coding experience.
- PREFERRED: Two years’ experience with inpatient coding.
- Experience with encoding systems.
About United Health Services
United Health Services (UHS) is a locally owned, not-for-profit healthcare system in New York’s Southern Tier comprising four hospitals, long-term care and home care services, and physician practices in Broome and surrounding counties. UHS provides healthcare and medical services for two-thirds of the region’s population, producing $1.3 billion a year in total economic impact, and boasting a workforce of more than 6,300 employees and providers. At UHS, our work is guided by our Values of Compassion, Trust, Respect, Teamwork, and Innovation. Whether you provide direct patient care or support behind the scenes, you are part of a shared purpose: to improve the health and well-being of the communities we serve.