Revenue Cycle Coder III-Inpatient Coding

About the Role

As our Advanced Coding & CDI Educator, you will leverage your expert knowledge in ICD-10-CM, ICD-10-PCS, and CPT-4 coding to drive excellence in our health information management (HIM) department. This critical role focuses on elevating coding accuracy, enhancing Clinical Documentation Improvement (CDI) practices, and ensuring system-wide compliance with evolving regulatory standards. You will be instrumental in fostering a culture of continuous learning and precision, directly impacting our revenue cycle integrity and healthcare data quality.

You will serve as a primary resource for complex coding and billing inquiries, providing authoritative guidance and problem-solving expertise. You will design, develop, and deliver comprehensive coding and CDI education programs, onboarding new staff, and conducting targeted training sessions across the health system. A key part of your role involves performing rigorous coding and DRG validation audits, identifying areas for improvement, and facilitating follow-up education. You'll actively monitor and communicate regulatory coding and billing changes, translating them into actionable implementation plans, and promoting standardization of best practices. Furthermore, you will act as a vital liaison, fostering collaborative relationships with CDI specialists, physicians, clinical quality, and patient financial services to uphold the accuracy and integrity of all inpatient medical records.

Responsibilities

• Accurately assign codes from the current ICD classification systems for inpatient accounts and create MS-DRG/APR-DRG assignments while adhering to coding guidelines, regulations, and compliance plans.
• Abstract additional data elements as identified by the enterprise, such as administrative codes.
• Code all service lines of inpatient accounts.
• Communicate effectively, stay organized, and demonstrate effective time management skills.
• Adhere to the ethical standards of coding as established by AAPC and/or AHIMA.
• Maintain required levels of performance in both coding quality and productivity.
• Provide authoritative guidance on complex coding and billing inquiries.
• Design, develop, and deliver comprehensive coding and CDI education programs.
• Perform rigorous coding and DRG validation audits, identify areas for improvement, and facilitate follow-up education.
• Monitor and communicate regulatory coding and billing changes, translating them into actionable implementation plans.
• Promote standardization of best practices across the health system.
• Foster collaborative relationships with CDI specialists, physicians, clinical quality, and patient financial services.

Requirements

• High School Diploma/GED required with 3+ years of recent acute care coding experience, OR an Associate's Degree in HIM/RHIT.
• Must possess CCS, RHIA, or RHIT certification.
• Minimum of 3+ years of recent coding experience in an acute care setting, ideally within a large multi-facility organization.
• Proven expertise in coding complex conditions and procedures, including major trauma, CV, orthopedic, and neurosurgery, preferably in a Level I/II trauma or teaching hospital.
• Demonstrated success with 3+ years of experience working effectively in a remote environment.
• Proficient with 3+ years of experience utilizing various encoder and EMR systems such as Meditech, Epic, and Cerner.
• Expert-level understanding of ICD (diagnostic and procedural) and CPT-4 coding classification systems.

Preferred Qualifications

• Five years of recent inpatient medical coding experience (hospital, large multi-facility organization, etc.).
• Bachelor's degree in HIM.
• Proven track record in adult education and curriculum development.
• Strong analytical skills for conducting coding audits and identifying educational needs.
• Exceptional communication, collaboration, and interpersonal skills.

About the Organization

Inspired by faith, driven by innovation, and powered by humankindness, CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites, and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses, and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits, and unreimbursed government programs.

Pay

$30.91 - $51.00 per hour