Medical Coder - Inpatient Coding

Medical Coder - Inpatient Coding

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 and Experience Required:

High school diploma/GED and one (1) year of medical coding experience.

Certifications, Licenses, or Registration Required:

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)
• Any Physician specialty certification from AAPC

Preferred Qualifications:

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

Knowledge, Skills, and 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.
• The duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive.

Environmental and Physical Demands:

Requires 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, and frequent walking.(Occasional-up to 20%, frequent-from 21% to 50%, constant-51% or more).

Time Type: Full time

FLSA Designation/Job Exempt: No

Pay Class: Hourly

FTE %: 100