Medical Coder Inpatient (Remote)

  • Full Time
  • remote

Job Description

The Hospital Inpatient Coder reviews inpatient medical records and assigns International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10 CM) diagnosis and International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) procedure codes that derives an All Patient Refined Diagnosis Related Group (APR-DRG) or Medical Severity Diagnosis Related Group (MS-DRG) for optimal reimbursement. The Hospital Inpatient Coding Specialist will abstract pertinent information according to established guidelines for the organization and will formulate provider queries to clarify information.


Reviews clinical documentation and assigns diagnosis and procedure codes.

Verifies accuracy of Diagnosis Related Group (DRG)

Accurately abstracts required information.

Initiates provider coding queries in compliance with coding guidelines and policies where appropriate.

Meets established productivity and accuracy standards.

Verifies and assigns discharge status codes.

Ensures presence of a completed Medicaid certification prior to finalizing coding.

Appropriately assigns the Hospital Acquired condition (HAC) and Present on Admission (POA) indicator for each diagnosis.

Communicate with Clinical Documentation Integrity (CDI) Specialist via email, phone, or other methods regarding accounts.

Participates in team, organization and educational meetings.

Participates in educational programs, reading official coding publications such as the American Hospital Association’s (AHA) Coding Clinic for ICD-10-CM/PCS, AHA Coding Clinic for HCPCS, AMA CPT Assistant) to expand coding knowledge and stay abreast of changes in codes, coding guidelines, regulatory and other requirements.

Other Functions

Observes confidentiality and safeguards all patient related information.

Remote home office skills including PC use and maintenance, knowledge of Microsoft Office products including Excel and Outlook.

Communicates in a positive and professional manner with patients, providers, and staff.

Thoroughness and attention to detail

Performs other duties as assigned.


Required Qualifications:

High School Diploma or equivalent

Completion of coding training program to include anatomy & physiology, medical terminology, basic ICD-10-CM and ICD-10-PCS coding OR Completion of an approved Inpatient Coder Bootcamp

0-2 Years Of Acute Care Inpatient Coding Experience Required.

Demonstrated working knowledge of ICD-10-CM and ICD-10-PCS by passing coding competency assessment administered before hire.

Demonstrated working knowledge in medical terminology, anatomy and physiology, and disease process by passing coding competency assessment administered before hire.

Knowledge of Inpatient Prospective Payment System (RPPS), Diagnosis Related Group (DRG) methodologies, Severity of Illness (SOI), and Risk of Mortality (ROM)

Obtain coding credential through AHIMA, RHIA, RHIT, CCS or CCA within 2 years of hire date and maintain credential.

Preferred Qualifications

One or more certifications: RHIA, RHIT, CCS or CCA

Experience in coding across multiple specialties within a hospital coding environment and

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