Job Description
Job DescriptionSalary:
Inpatient Medical Coder
Position Overview
The Inpatient Medical Coder is responsible for reviewing and coding medical records for inpatient hospital encounters. This role ensures compliance with ICD-10-CM, CPT, and HCPCS coding standards and supports accurate reimbursement, revenue integrity, and regulatory compliance.
Key Responsibilities
- Review and code documentation for hospital admissions, procedures, surgeries, and other inpatient services.
- Assign accurate ICD-10-CM, CPT, and HCPCS codes based on physician and hospital documentation.
- Ensure compliance with federal, state, and third-party payer regulations, including CMS and DRG coding rules.
- Collaborate with providers and clinical staff to resolve documentation gaps or discrepancies.
- Maintain high accuracy and meet productivity and quality metrics for inpatient coding.
- Participate in ongoing training and remain current with coding updates, new regulations, and DRG assignments.
- Support internal audits and provide documentation as required by compliance teams.
- Adhere to patient confidentiality and HIPAA regulations at all times.
Qualifications and Experience
- Minimum of 35 years of experience in inpatient medical coding.
- Proficient in ICD-10-CM, CPT, and HCPCS coding systems.
- Knowledge of DRG and inpatient billing processes.
- Experience with EHR systems in a hospital setting.
- Strong understanding of compliance, reimbursement, and regulatory guidelines.
Required Skills
- High accuracy and attention to detail.
- Strong analytical and critical thinking skills for complex coding scenarios.
- Effective communication for collaboration with providers and internal teams.
- Ability to prioritize workload and meet deadlines.
Certifications
- Certified Coding Specialist (CCS) preferred; CPC or other recognized coding certifications acceptable.
- Continuing education to maintain certification.
Clearance Requirement
- Must be able to obtain and maintain any required background checks or access authorizations if applicable.
Salary Range
- To be discussed.