Inpatient Coder

The Inpatient Coder will be responsible for accurately coding and abstracting diagnoses, procedures and clinical information from the medical record. The individual will adhere to established coding guidelines for data quality and integrity, as well as productivity.


The Inpatient Coder plays an integral role in ensuring accurate and compliant coding of inpatient
records. This position requires an individual with attention to detail, strong analytical skills,
effective communication and collaboration skills. Duties and responsibilities include but are not
limited to:
• Adherence to ICD-9, ICD-10-CM/PCS Official Guidelines for Coding and Reporting,
AHA Coding Clinic, CMS and other regulatory guidelines
• Applying the Uniform Hospital Discharge Data Set (UHDDS) definitions including
regulatory guidelines to select the principal diagnosis, secondary diagnoses, & procedures
utilizing MS-DRG, APR-DRG reimbursement expertise to assign appropriate ICD-10
CM and/or ICD-10-PCS diagnoses and procedures.
• Responsible for accurately assigning present on admission (POA) indicators for inpatient
diagnoses.
• Accurately identifying hospital-acquired conditions (HACs) supported in physician
documentation and reportable to corresponding quality committees.
• Verifying data and discharge disposition to assure coding compliance.
• Formulate appropriate queries in accordance with Guidelines for Achieving a Compliant
Query Practice (2019 Update) for clarification of conflicting/ambiguous documentation,
treatments or diagnostic tests given to patients for accurate code assignment and
sequencing.
• Extracting required information from source documentation and enter into encoder and
abstracting system.
• Reviewing daily pre-bill edits and coding errors to make corrections or complete missing
data elements.
• Ability to collaborate with HIM Staff and Clinical Documentation Improvement
Specialists (CDIS) to ensure the most accurate and complete documentation to support
accurate coding/billing.
• Efficiently utilize Coding software and HIMS to abstract required data from patient visits
in the appropriate coding assignments and timely billing in accordance with DNFB goals
and established hospital policy and procedures.
• Attending continuing education workshops, webinars, etc., for coding compliance and
maintenance of CEUs.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to View email address on click.appcast.io learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy:


Required Skills & Experience
• At least 5 years' working experience with ICD-10-CM/PCS code sets and MS-DRG and
APR-DRG payment models
• Successful completion of at least one AHIMA (American Health Information
Management Association) certified program with achievement of the correlating
professional credential preferred (RHIA, RHIT, and / or CCS, etc.)
• Associates or higher-level degree in a Health Information Management discipline
preferred
• Prior experience working within a large hospital system (500 + beds), demonstrating
familiarity with multiple service lines, facility coding guidelines, EMR platforms such as
Epic and 3M-360 software a plus
• Candidates must have experience coding acute care Trauma/Teaching Level 1 Facility,
Transplants - Kidney, Liver and Pancreas, Surgical Services including Gen Med Surg,
Ortho, Cardiothoracic, Vascular, Bariatric, Gynecologic, Neurologic, Urologic,
Colorectal, Behavioral Health, Gastroenterology, and Wound Care
• Meet coding productivity and accuracy requirements
• A pre-employment coding proficiency assessment will be administered


Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.