Inpatient Medical Coder/Facility Medical Coder/Acute Care Coder

Job Summary

We are seeking an experienced Inpatient Medical Coder to accurately assign diagnosis and procedure codes for inpatient hospital accounts while ensuring compliance with ICD-10 coding guidelines and regulatory standards. The ideal candidate will have strong inpatient facility coding experience, excellent knowledge of ICD-10-CM, ICD-10-PCS, and MS-DRG assignment, and the ability to maintain productivity and coding accuracy in a fast-paced environment.

Key Responsibilities

• Review inpatient medical records and assign accurate ICD-10-CM diagnosis and ICD-10-PCS procedure codes.
• Abstract clinical information from patient records in accordance with official coding guidelines.
• Validate accurate Medicare Severity Diagnosis Related Group (MS-DRG) assignment.
• Collaborate with Clinical Documentation Improvement (CDI) and Quality teams to ensure documentation supports accurate coding.
• Generate physician queries when additional documentation or clarification is required.
• Maintain assigned work queues and ensure records are coded within established turnaround times.
• Meet productivity expectations of approximately 16–17 inpatient charts per day while maintaining high coding quality.
• Stay current with coding guideline updates, regulatory changes, and industry best practices.
• Perform other duties as assigned.

Required Qualifications

• High school diploma or equivalent required.
• Associate degree or equivalent work experience preferred.
• Minimum 2 years of recent inpatient facility coding experience.
• Strong knowledge of ICD-10-CM, ICD-10-PCS, and MS-DRG assignment.
• Experience with inpatient hospital coding and medical record abstraction.
• Strong understanding of anatomy, physiology, medical terminology, and disease processes.
• Excellent analytical, organizational, and communication skills.
• Ability to work independently in a remote environment while meeting productivity and quality standards.

Preferred Qualifications

• Experience coding for Trauma Level I or Trauma Level II hospitals.
• Experience collaborating with Clinical Documentation Improvement (CDI) teams.
• Familiarity with Medicare inpatient coding regulations and compliance requirements.

Required Certifications

Candidates must possess one of the following active certifications:

• Certified Coding Specialist (CCS)
• Certified Inpatient Coder (CIC)
• Certified Professional Coder (CPC)
• Registered Health Information Administrator (RHIA)
• Registered Health Information Technician (RHIT)