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Summary
Join a leading healthcare organization as an Inpatient Health Information Coding Specialist, where you’ll play a vital role in ensuring the accuracy, integrity, and quality of clinical data. This opportunity is ideal for experienced inpatient coders who enjoy working with challenging medical cases, collaborating with clinical teams, and contributing to both financial and patient care outcomes. You’ll have the chance to work within a complex healthcare environment that values professional expertise, continuous learning, and coding excellence.
About the Opportunity
This position offers the opportunity to work with a highly skilled healthcare team supporting a large, sophisticated hospital environment. You’ll be involved in coding some of the most medically complex patient encounters, helping ensure accurate reimbursement, regulatory compliance, and quality reporting.
Success in this role comes from combining strong coding expertise with sound clinical judgment, attention to detail, and the ability to navigate nuanced documentation across a wide variety of service lines.
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.
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