Position: Sr. Inpatient Medical Coder
Location: Remote
Job Responsibilities:
Essential Functions:
Review and code complex inpatient medical records using ICD‑10‑CM and ICD‑10‑PCS to ensure accurate clinical representation and compliant reimbursement
Analyze clinical documentation to identify diagnoses, procedures, comorbidities, and complications impacting DRG assignment and data integrity
Apply advanced coding knowledge to resolve complex scenarios while meeting established productivity and accuracy standards
Initiate and respond to provider documentation queries to support complete, clear, and compliant medical records
Utilize coding systems, encoder tools, and EHR platforms to support timely and accurate inpatient coding workflows
Scope and Impact:
Contribute directly to revenue integrity, compliance, and quality reporting through precise inpatient coding and documentation review
Exercise independent judgment to resolve non‑routine and complex coding issues within established guidelines and escalation pathways
Support departmental performance through participation in audits, quality assurance activities, and process improvement initiatives
Provide guidance and informal mentoring to junior coders and new team members, supporting skill development and consistency
Compliance and Professional:
Maintain required certifications and coding credentials in accordance with organizational and regulatory requirements
Adhere to HIPAA, coding guidelines, payer regulations, and internal policies to ensure confidentiality and compliance
Complete required training, education, and competency validations within established timelines
Safeguard sensitive data by following established security policies and procedures, using systems responsibly, and promptly reporting potential security incidents, risks, or policy violations
As applicable to your role, support cybersecurity and data protection requirements throughout the supplier lifecycle by coordinating vendor risk assessments, monitoring third-party compliance, and promptly reporting identified supply chain or cybersecurity risks
Required:
Associate Degree in Health Information Technology (HIT)
AHIMA Registered Health Information Technician (RHIT) certification
AAPC Certified Inpatient Coder (CIC) certification ORAHIMA Certified Coding Specialist (CCS) certification
At least 5 years of direct experience performing the exact or very similar duties required by the job within the same role or function
At least 5 years of healthcare experience working in the healthcare industry in any job function
At least 5 years of experience in the same work environment or setting (hospital, practice, department/division)
At least 5 years of technical/systems experience using specialized tools, software, or equipment required for the role
Preferred:
Bachelor’s Degree in Health Information Management (HIM)
AHIMA Registered Health Information Administrator (RHIA) certification