Inpatient Coder

Summary

About the Opportunity

What You’ll Do

Clinical Coding & Documentation Review

• Analyze inpatient medical records and translate clinical documentation into accurate diagnosis and procedure codes.
• Apply coding guidelines and reimbursement methodologies to complex acute-care patient encounters.
• Review documentation for completeness and identify opportunities for clarification when needed.
• Support accurate assignment of severity, quality, and reimbursement indicators.

Quality & Compliance

• Maintain high coding accuracy standards while meeting productivity expectations.
• Contribute to coding audits, quality reviews, and compliance initiatives.
• Stay informed on evolving healthcare regulations, coding updates, and industry best practices.
• Help ensure data integrity for reimbursement, quality outcomes, and reporting requirements.

Collaboration & Knowledge Sharing

• Partner with physicians, clinical documentation specialists, and fellow coding professionals to resolve documentation questions.
• Participate in educational initiatives and ongoing professional development.
• Assist with knowledge sharing and provide guidance to less experienced team members when appropriate.
• Support broader documentation improvement efforts that enhance clinical and operational outcomes.

Impact & Performance

• Play a key role in maintaining accurate hospital quality metrics and reporting.
• Ensure coding outcomes accurately reflect patient acuity and services provided.
• Contribute to operational efficiency through consistent, high-quality work and professional accountability.

What You Bring

• Experience performing inpatient facility coding in a hospital setting, typically three or more years.
• Strong understanding of diagnosis and procedure coding methodologies used in acute-care environments.
• Background working with complex medical and surgical cases within larger healthcare systems.
• Familiarity with inpatient reimbursement models, documentation standards, and regulatory requirements.
• Ability to interpret detailed clinical records and make sound coding decisions independently.
• Excellent analytical, communication, and problem-solving abilities.
• Active coding credential such as RHIA, RHIT, CCS, CIC, CPC, COC, CCS-P, or a comparable certification.
• Education through a coding certification program, Health Information Management program, or equivalent professional experience.

Nice to Have

• Experience within an Academic Medical Center, teaching hospital, trauma center, or other high-acuity healthcare environment.
• Exposure to specialties such as cardiology, neurology, oncology, transplant services, orthopedics, women’s health, critical care, rehabilitation, or trauma.
• Familiarity with leading electronic medical record systems and coding platforms.
• Experience supporting clinical documentation improvement initiatives.
• Knowledge of quality metrics and patient acuity measurement methodologies.
• Prior involvement in coding audits, mentoring, or training activities.