Inpatient Lead Coder - Remote
Core
Assigns ICD-10-CM/PCS codes to diagnoses and procedures from medical records to ensure accurate DRG assignments and reimbursement for inpatient encounters.
Role type
Inpatient Lead Coder (Team Leader)
Builds
Accurate billing data and DRG assignments for hospital inpatient services
Domain
Healthcare / Medical Coding
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work -> dashboards & analysis (billing data/DRG assignments)
Required skills
ICD-10-CM/PCS coding, CPT-4 coding, DRG systems (CMS/APR), medical terminology, anatomy/physiology/pathology basics, 3M encoder, EPIC, data abstraction, regulatory guidelines compliance
Preferred skills
CCS, RHIT, RHIA credentials, Level 1 Trauma/Teaching Facility experience, mentoring staff, system troubleshooting
Technologies
ICD-10-CM/PCS, CPT-4, 3M encoder, EPIC, Microsoft applications
Responsibilities
Assign work to coders and analyze unbilled reports, research unbilled accounts and update discharge dispositions, orient and train new staff, serve as subject matter expert for outside departments, troubleshoot 3M encoder and EPIC system issues, review medical records to abstract diagnoses and procedures, sequence diagnoses and procedures per guidelines, consult with CDCI team for clarification, enter coded data into hospital database, maintain 95% coding accuracy rate, coordinate with HIM to track missing documentation
Seniority
Senior, hands-on IC with leadership duties