Senior Hospital Coder

About the role

The Senior Hospital Coder is responsible for detailed inpatient coding quality audits, providing education and feedback, and assisting with projects and special requests.

Responsibilities

• Audit and monitor inpatient and outpatient records, investigate unbilled cases, and optimize hospital reimbursement.
• Understand and assist with the hospital’s billing and registration systems.
• Advocate for proper documentation practices and provide specificity for diagnoses and procedures.
• Bring concerns about inappropriate coding practices to leadership.
• Assist in problem-solving processes and policy development.
• Communicate with management on trends and concerns regarding coding quality.
• Schedule calls and be available for coding staff questions.
• Lead morning huddles and organize the shared drive for the medical coding department.
• Research and educate staff on new coding clinics, guidelines, and concepts.
• Participate in discussions and projects to improve turnaround time for coding.
• Support team collaboration and problem-solving activities.
• Mentor and guide coding staff to improve their performance.

Requirements

• High School Diploma/G.E.D.
• Associate's Degree in Health Information Management or related field.
• 1-3 years of experience in a leadership, supervision, or code auditing position.
• 2+ years of experience coding ICD-10-CM/PCS.
• Experience with 3M 360 and EPIC.
• Minimum score of 85% on a coding assessment.
• Coding certification / credential through AHIMA or AAPC.

Qualifications

• High proficiency in reading medical records for ICD-10-CM, ICD-10-PCS, and DRG assignments.
• Strong team development, critical thinking, organization, verbal, and written communication skills.
• Independent and effective teamwork abilities.
• Knowledge in revenue cycle operations.

Skills

• Expert-level proficiency in ICD-10-CM, ICD-10-PCS, and DRG coding.
• Effective communication and problem-solving skills.
• Ability to work independently and collaboratively.
• Proficiency in multiple software systems (Epic, Solventum 360, Outlook, MS Teams, Word, Excel, Citrix).

Benefits

Remote work option.

Pay

$64,972.00 - $97,458.00

Schedule

Day shift