Senior Inpatient Coder

Summary: The Senior Inpatient Coder is responsible for accurately assigning diagnosis and procedure codes to inpatient discharges at the larger company facilities representing more complex medical/surgical encounters.

Possess inpatient coding knowledge and experience necessary to accurately assign codes to determine correct principal diagnosis, identify and assign co-morbidities and complications, secondary diagnoses, present on admission indicator, discharge disposition, Hospital Acquired conditions, principal procedure, and secondary procedures on all discharged inpatient records to arrive at the most appropriate DRG assignment.

Codes all inpatient discharges at the 2 larger Health Facilities with more complex medical and surgical procedures. These encounters involve longer lengths of stay, complex medical diagnoses and may involve extensive surgical procedures. These facilities provide the services like trauma, invasive cardiac, vascular, and complex orthopedic procedures.

Maintains department specific productivity standards with a 95% accuracy rate.

Queries physicians appropriately when documentation is not clear in the medical record.

Must work closely with the Clinical Documentation Specialists to assure the most optimal DRG is assigned.

Keeps abreast of all new coding developments by attending any coding classes, reading articles on coding updates, and attending seminars when available.

Respect patient confidentiality at all times.

Performs other duties as assigned.


Qualifications/Education/Training:

1 to 2 years of inpatient coding in an acute care hospital setting

Licenses and/or Certifications:

High School Diploma or equivalent preferred, Associate Degree preferred

RHIT, RHIA, CPC or CCS certification required

Additional Qualifications

• Trauma Coding (prefer level 1)- no small rural hospitals
• Inpatient
• Complex surgeries: Cardiovascular, spine, and trauma surgery

Hours: 7:00am-3:30pm for training and once they are trained and able to work on their own, there is a flexible schedule (earliest is 4:00am start, latest is 8:30am). Must pick a consistent shift and it has to be a straight 8 hours.

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.