Coder III
About The Position
The Coder III serves in an expert-level capacity, coding and abstracting complex inpatient records to support accurate data retrieval, reimbursement, research, and analysis, while maintaining clinical documentation and data integrity. The role is a primary resource for hospital staff and coding team members, resolving billing-related inquiries and coding follow-ups. It also supports leadership with DRG denials, claim edits, internal audits, and CHA data submissions. The Coder III provides mentorship and hands-on guidance, supports high-level inpatient training with Coding School Trainers, and collaborates with management on ongoing coding education and process improvements. The position is open to remote or out-of-state candidates residing in the states listed in the posting.
Requirements
- High school diploma or GED.
- Two to four years of inpatient coding experience in an acute care setting.
- Current AHIMA credentials (RHIA, RHIT, CCS, or CCS-P) or AAPC credentials (COC, CIC, CPC-H, or CPC), maintained; alternatively, certification must be acquired within six months of hire.
- Demonstrated competency in inpatient coding guidelines.
- Proficiency with Microsoft Windows applications, including Word, Excel, PowerPoint, and Outlook.
- Advanced knowledge of Coding Clinic Guidelines and technical coding competency in ICD-10, ICD PCS, and Nosology.
- Advanced knowledge of disease management, anatomy and physiology, medical terminology, pharmacology, and coding systems such as 3M.
Responsibilities
- Accurately code and abstract inpatient records and assign DRGs in compliance with official coding guidelines, regulatory standards, and organizational policies.
- Perform detailed coding reviews and audits, and draft appeal letters to resolve DRG denials and billing disputes.
- Serve as a liaison between the inpatient coding team, CDIS, and Revenue Management to identify trends, resolve issues, and ensure consistent communication.
- Answer complex coding questions and troubleshoot system or billing-related edits in accordance with regulatory requirements.
- Facilitate training sessions and conduct quality audits, providing constructive feedback to improve team performance and accurate reimbursement practices.
- Assist management with personnel-related tasks and foster a professional, team-oriented environment aligned with the values and goals of the Coding Service Center.
- Support leadership with managing DRG denials, navigating claim edits, conducting internal audits, and overseeing CHA data submissions.
- Mentor and guide others, work with Coding School Trainers on high-level inpatient training, and collaborate with management on coding education and process improvements.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
