Inpatient Coder II, HB coding
Core
Expert inpatient coder assigning ICD-10-CM/PCS codes for complex acute care discharges to ensure accurate reimbursement and quality metrics.
Role type
Senior inpatient medical coder (IC)
Builds
Accurate clinical documentation and reimbursement data for complex inpatient cases
Domain
Healthcare / Medical Coding
Required skills
ICD-10-CM/PCS coding, MS-DRG/APR-DRG sequencing, Clinical Documentation Improvement (CDI) collaboration, Medical terminology, Anatomy/physiology knowledge, Pharmacology knowledge, Appeal letter writing, Nosology message resolution
Preferred skills
RHIA/RHIT/CCS credential, CDIP/CCDS credential, Teaching hospital experience
Technologies
CAC (Computerized Assisted Coding) software
Responsibilities
Assign ICD-10-CM/PCS codes to complex inpatient visits based on provider notes and CDI insights; Validate discharge disposition and DRG assignments; Write appeal letters for payor DRG downgrades; Resolve nosology messages and coding validation errors; Educate CDI staff on regulatory guidelines.
Seniority
Mid-level, hands-on IC
