Job Description

Job Description

This is a remote, advanced coding role requiring independent decision-making and operating under general supervision. The Inpatient Coder II is responsible for accurate assignment of ICD diagnosis and procedure codes and MS-DRGs for inpatient hospital services across a wide range of specialties including:

• Neurology
• Oncology
• Urology
• Transplant
• OB/Newborn
• Orthopedics
• Cardiology
• Critical Care
• Complex trauma and acutely ill patients

Coders collaborate with clinical documentation improvement specialists and communicate with providers primarily via electronic queries to ensure complete and accurate documentation.

Key Responsibilities

• Assign DRGs, diagnosis, and procedure codes accurately
• Abstract required information per facility guidelines
• Independently write and manage physician queries
• Assign Present on Admission (POA) indicators
• Maintain productivity and accuracy standards (≥95%)
• Code mortality and rehab cases per policy
• Handle Combine/Uncombine processes
• Submit rebuttals for insurance denials when requested
• Participate in special projects and other duties as assigned

Required Skills & Experience

• Minimum Experience:
• 1 year recent inpatient coding at an academic medical center

OR

• 3 years recent hospital inpatient coding experience

• Preferred Experience:
• 3+ years inpatient coding at an academic facility

• Technical Skills:
• Proficiency in coding complex inpatient cases
• Effective communication and adaptability to change
• Ability to work independently and meet productivity benchmarks

Education & Certifications

• Required Education:
• Completion of a Coding Certificate Program or Associate Degree in HIM (or equivalent)

• Preferred Education:
• Bachelor’s Degree in HIM (or equivalent)

• Required Certifications:
• Certified RHIA, RHIT, or CCS

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