Hospital Inpatient Coder, Certified

🕒 June 24

🇺🇸 United States – Remote

💵 $28 - $37 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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HCA Healthcare

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

🏥 Healthcare

🧬 Biotechnology

💰 Post-IPO Debt on 2014-06

Healthcare Insurance • Healthcare • Biotechnology

HCA Healthcare is a leading healthcare provider in the United States, dedicated to delivering high-quality medical services through a vast network of hospitals and outpatient facilities. They focus on enhancing patient care and improving health outcomes by utilizing advanced technologies and evidence-based practices. HCA Healthcare is committed to excellence and innovation in the health service sector.

📋 Description

• Reviews complete inpatient medical records, including physician notes, operative reports, consultations, imaging, lab results, and discharge summaries • Assigns and properly sequences accurate ICD-10-CM diagnosis and ICD-10-PCS procedure codes in accordance with Official Coding Guidelines, UHDDS definitions, Coding Clinic guidance, and CMS to a full range of inpatient services including cases with a high complexity level • Assigns correct and optimal DRGs (MS-DRG/APR-DRG) • Ensures accurate capture of Major Comorbid Conditions (MCC)/Comorbid Conditions (CC), Present on Admission (POA) indicators, Hospital-Acquired Conditions (HACs), Patient Safety Indicators (PSIs), Severity of Illness (SOI), and Risk of Mortality (ROM) • Issues compliant physician queries when documentation is incomplete, ambiguous, or inconsistent • Identifies documentation gaps and escalates when clarification is needed • Resolves coding edits, queries, and discrepancies in a timely and compliant manner • Participates in internal and external audits; assists in implementing corrective action plans • Collaborates with Clinical Documentation Improvement (CDI) to ensure complete documentation and optimal DRG assignment • Supports coding leadership by identifying documentation improvement opportunities and workflow challenges • Meets or exceeds departmental accuracy and productivity standards • Codes inpatient encounters efficiently to support timely billing and reduce DNFB • Assists with reviewing accounts held for coding-related issues • Maintains required coding credentials (CCS, RHIT, RHIA) • Stays current with all annual ICD-10-CM/PCS updates, DRG changes, and regulatory updates • Participates in continuing education, team meetings, and training sessions • Adapts to changing department demands required to maintain a high level of performance • Performs other duties as assigned

🎯 Requirements

• High school diploma or equivalent • Certified Coding Specialist (CCS) certification • Previous hospital coding experience • Possesses excellent organizational, interpersonal, verbal, and written communication skills • Has vigilance and keen attention to detail • Possesses proper phone and email etiquette for frequent hospital and private provider exchanges • Excellent time management to meet deadlines and productivity targets • Intermediate computer skills • Thorough knowledge of medical terminology, anatomy, and physiology • Understanding of ICD-10-CM, ICD-10-PCS • Knowledge and experience using an encoder, and EMR required.

🏖️ Benefits

• Medical Plan • Prescription drug coverage & In-House Employee Pharmacy • Dental Plan • Vision Plan • Flexible Spending Account (FSA) - Healthcare FSA - Dependent Care FSA • Retirement Savings and Investment Plan • Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance • Supplemental Group Term Life & Accidental Death & Dismemberment Insurance • Disability Benefits – Long Term Disability (LTD) • Disability Benefits – Short Term Disability (STD) • Employee Assistance Program • Commuter Transit • Commuter Parking • Supplemental Life Insurance - Voluntary Life Spouse - Voluntary Life Employee - Voluntary Life Child • Voluntary Legal Services • Voluntary Accident, Critical Illness and Hospital Indemnity Insurance • Voluntary Identity Theft Insurance • Voluntary Pet Insurance • Paid Time-Off Program