Revenue Cycle Coder III-Inpatient Coding

As ourAdvanced Coding & CDI Educator you will leverage your expert knowledge inICD-10-CMICD-10-PCS andCPT-4 codingto drive excellence in ourhealth information management (HIM)department. This critical role focuses on elevatingcoding accuracy enhancingClinical Documentation Improvement (CDI) practices and ensuring system-widecompliancewith evolving regulatory standards. You will be instrumental in fostering a culture of continuous learning and precision directly impacting ourrevenue cycle integrityandhealthcare data quality.

Every day you will serve as a primary resource for complex coding and billing inquiries providing authoritative guidance and problem-solving expertise. You will design develop and deliver comprehensivecoding and CDI education programs onboarding new staff and conducting targeted training sessions across the health system. A key part of your role involves performing rigorouscoding and DRG validation audits identifying areas for improvement and facilitating follow-up education. Youll actively monitor and communicateregulatory coding and billing changes translating them into actionable implementation plans and promoting standardization of best practices. Furthermore you will act as a vital liaison fostering collaborative relationships with CDI specialists physicians clinical quality and patient financial services to uphold the accuracy and integrity of all inpatient medical records.

To be successful in this advanced role you will possessexpert-level knowledgeof current coding classification systems (ICD-10-CM/PCS CPT-4) and a deep understanding ofCDI methodologies. You must have a proven track record inadult educationandcurriculum development with an ability to present complex information clearly and engagingly. Strong analytical skills for conductingcoding auditsand identifying educational needs are essential. Exceptional communication collaboration andinterpersonal skillsare crucial for building effective working relationships across various departments and influencing positive change incoding complianceanddocumentation improvementpractices. Relevantcoding certifications(e.g. CCS RHIA CDIP) are expected.

• Accurately assigns codes from the current ICD classification systems for inpatient accounts creates MS-DRG/APR-DRG assignments while adhering to coding guidelines regulations and compliance plan
• Abstract additional data elements as identified by enterprise such as administrative codes
• Must be able to code all service lines of inpatient accounts
• Ability to communicate effectively stay organized and demonstrate effective time management skills
• Adhere to the ethical standards of coding as established by AAPC and/or AHIMA
• Adhere to and maintain required levels of performance in both coding quality and productivity

• Education & Certification:High School Diploma/GED required with 3years of recent acute care coding experienceORan Associates Degree in HIM/RHIT. Must possess CCS RHIA or RHIT certification.
• Acute Care Coding Expertise:Minimum of 3 years recent coding experience in an acute care setting ideally within a large multi-facility organization.
• Complex Case Mastery:Proven expertise in coding complex conditions and procedures including major trauma CV orthopedic and neurosurgery preferably in a Level I/II trauma or teaching hospital.
• Remote Work Proficiency:Demonstrated success with 3 years of experience working effectively in a remote environment.
• Technical Acumen:Proficient with 3 years of experience utilizing various encoder and EMR systems such as Meditech Epic and Cerner.
• Advanced Coding Knowledge:Expert-level understanding of ICD (diagnostic and procedural) and CPT-4 coding classification systems.

Preferred

• 4-6 years 5 (five) years of recent inpatient medical coding experience (hospital large multi-facility organization etc.)
• Bachelors Other in HIM