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 accuratelyAbstract required information per facility guidelinesIndependently write and manage physician queriesAssign Present on Admission (POA) indicatorsMaintain productivity and accuracy standards (≥95%)Code mortality and rehab cases per policyHandle Combine / Uncombine processesSubmit rebuttals for insurance denials when requestedParticipate in special projects and other duties as assignedRequired Skills & Experience
Minimum Experience :1 year recent inpatient coding at an academic medical centerOR
3 years recent hospital inpatient coding experiencePreferred Experience :3+ years inpatient coding at an academic facilityTechnical Skills :Proficiency in coding complex inpatient casesEffective communication and adaptability to changeAbility to work independently and meet productivity benchmarksEducation & 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