Medical Coder - Inpatient Coding

Job Summary

Medical Coder-Inpatient reviews and codes inpatient medical records and clinical documentation for hospital services. This role requires expertise in ICD-10, CPT, and HCPCS coding systems to assign accurate diagnostic and procedural codes, ensuring compliance with healthcare regulations, payer requirements, and industry standards for reimbursement and billing.

Education & Experience

• High school diploma/GED and one (1) year of medical coding experience.
• One of the following medical coding certifications from the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC) is required post-hire within one (1) year:
• Registered Health Information Management Technician (RHIT)
• Registered Health Information Administrator (RHIA)
• Certified Coding Associate (CCA)
• Certified Coding Specialist (CCS)
• Certified Coding Specialist- Physician-Based (CCS-P)
• Certified Professional Coder (CPC or CPC-A)

Preferred Qualifications

• Associate's degree in health information management or medical coding.

Knowledge, Skills & Abilities

• Proficient in electronic coding systems and electronic health records.
• Skilled in using personal computers, Microsoft Office Suite (Excel, PowerPoint, Word, Outlook), and email applications for communication and scheduling.
• Strong written and verbal communication skills, with the ability to foster team collaboration across departments.
• Capable of researching and using available resources independently.
• Experienced in assigning accurate codes using coding guidelines with minimal supervision.
• Equipped to work remotely, with necessary hardware and high-speed internet for efficient task completion.

Responsibilities

• Review medical records to identify and code diagnoses and procedures.
• Assign ICD, CPT, and HCPCS codes accurately.
• Ensure coding complies with healthcare regulations (e.g., HIPAA, CMS).
• Collaborate with healthcare providers for accurate documentation.
• Submit codes for billing and resolve discrepancies.
• Stay updated on coding changes and best practices.
• Demonstrative effective communication and response using systems available to both the medical coder and management through telephone and email communication.
• Demonstrate effective use of required EHR software.

Environmental And Physical Demands

• No exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold.
• No handling or working with potentially dangerous equipment.
• Occasional working hours beyond regularly scheduled hours.
• Occasional travelling to offsite locations.
• Frequent activities subject to significant volume changes of a seasonal/clinical nature.
• Constant work produced is subject to precise measures of quantity and quality.
• Occasional bending.
• Occasional lifting/carrying up to 10 pounds.
• Occasional lifting/carrying up to 25 pounds.
• No lifting/carrying up to 50 pounds.
• No lifting/carrying up to 75 pounds.
• No lifting/carrying up to 100 pounds.
• No lifting/carrying 100 pounds or more.
• Occasional climbing.
• No crawling.
• Occasional crouching/stooping.
• Occasional driving.
• No kneeling.
• Occasional pushing/pulling.
• Frequent reaching.
• Frequent sitting.
• Frequent standing.
• Occasional twisting.
• Frequent walking.

Time Type

Full time

FLSA Designation/Job Exempt

No

Pay Class

Hourly

FTE %

100

Work Shift

Not specified

Benefits Eligibility

Grant Funded