Inpatient Coding Specialist
Robert Half
We are looking for an experienced Inpatient Coding Specialist to support accurate medical record coding and clinical data abstraction for acute inpatient encounters in Sacramento, California. This is a Contract position focused on applying inpatient coding standards, validating documentation, and helping ensure compliant reimbursement and reporting outcomes. The role requires close review of provider documentation, strong judgment in code assignment, and consistent adherence to federal, state, and payer guidelines.Responsibilities:• Examine inpatient charts in detail and assign accurate diagnosis and procedure codes based on clinical documentation and established coding standards.• Determine the appropriate DRG classification and confirm related elements such as discharge status, admission source, and present-on-admission indicators.• Abstract required clinical and demographic data for each account in accordance with facility rules and reporting obligations.• Review documentation for completeness, identify discrepancies, and obtain clarification when records do not adequately support code selection.• Manage discharged-not-billed work queues to help move accounts through the revenue cycle within departmental turnaround expectations.• Partner with clinical documentation specialists, physicians, and other stakeholders to improve record completeness and support precise code assignment.• Apply coding, billing, and data collection regulations while using coding and validation systems to confirm accuracy and compliance.• Maintain productivity and quality benchmarks while working independently and exercising sound time-management and problem-solving skills.
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