Inpatient Coder

We’re seeking an experienced Inpatient Coder to join our remote Health Information Management team. This advanced coding role functions with a high degree of independence and requires strong analytical skills, coding accuracy, and clinical understanding across a wide variety of specialties.

You’ll be responsible for accurately assigning ICD-10-CM/PCS diagnosis and procedure codes and MS-DRGs for inpatient hospital services across complex medical and surgical cases. This includes specialties such as Neurology, Oncology, Urology, Transplant, OB/Newborn, Orthopedics, Cardiology, and Critical Care — including trauma and acutely ill patients.

This position offers the opportunity to work in a collaborative, quality-driven environment where coders partner closely with Clinical Documentation Improvement (CDI) teams and providers to ensure complete and compliant medical records.

• Assign accurate ICD-10-CM/PCS diagnosis and procedure codes for inpatient accounts.

• Determine and validate MS-DRG groupings per facility and payer guidelines.

• Ensure Present on Admission (POA) indicators are coded accurately.

• Review medical record documentation for completeness and query providers when needed.

• Collaborate with CDI specialists to ensure documentation supports optimal code assignment.

• Maintain 95% or higher coding accuracy and meet productivity standards.

• Support denial management and provide coding justifications for payer appeals.

• Participate in audits, QA reviews, and other departmental projects as assigned.

Required:

• 1+ year of recent inpatient coding experience in an academic or acute care hospital OR

• 3+ years of hospital inpatient coding experience in a multi-specialty environment.

• Certification: RHIA, RHIT, or CCS required.

• Education: Completion of a Coding Certificate Program or Associate degree in Health Information Management (HIM) or related field.

Preferred:

• 3+ years of inpatient coding experience in an academic or Level I Trauma Center setting.

• Bachelor’s degree in HIM or related discipline.

• In-depth knowledge of ICD-10-CM/PCS coding, DRG assignment, and CMS guidelines .

• Strong communication and query-writing skills.

• Proficiency in EMR systems and computer-assisted coding software.

• Ability to manage complex cases independently and meet strict deadlines.

• Commitment to compliance, accuracy, and continuous learning.

Candidates must reside in one of the following states to be considered:
Alabama, Arizona, Arkansas, Colorado, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin, or Wyoming.