Coder Inpatient

Omega • Boca Raton, FL

14h

About The Position

This is an inpatient coder role requiring recent and multiple years' experience coding in a children's hospital. The position involves multi-specialty coding for both medicine and surgical cases. Candidates should have experience in multiple specialties, though not necessarily all. Proficiency with Epic and 3M 360 CAC is required. The schedule offers flexibility after an initial training period. For the first week of training, candidates must be available between 8 AM and 4 PM PST. After initial training, 50% of the shift should be worked during this timeframe. This is an 8-week project.

Requirements

• recent and multiple years' experience coding in a children's hospital
• experience in multiple specialties
• Epic and 3M 360 CAC experience required
• Advanced knowledge of ICD‑10‑CM and ICD‑10‑PCS coding guidelines
• Strong understanding of MS‑DRG and APR‑DRG methodologies, including severity adjustment (SOI/ROM)
• Proficiency in coding complex inpatient encounters, including: Neonatal and pediatric intensive care (NICU/PICU), Congenital anomalies and genetic disorders, Pediatric surgical procedures, Transplants, oncology, trauma, and burn cases
• Ability to accurately assign: Principal diagnosis, Secondary diagnoses (including MCC/CC capture), Principal and additional procedures
• Knowledge of Present on Admission (POA) indicators and reporting requirements
• Understanding of payer‑specific inpatient coding rules (Medicaid, managed care, commercial plans)
• In‑depth understanding of pediatric anatomy, physiology, and disease processes
• Specialized knowledge of neonatal coding, including: Birth weight and gestational age guidelines, Perinatal conditions and maternal‑fetal linkage, Newborn vs. neonatal vs. pediatric admission distinctions
• Ability to interpret and code age‑specific clinical indicators (e.g., developmental stages, weight‑based dosing, age‑related norms)
• Familiarity with pediatric subspecialties, such as: Pediatric cardiology and cardiothoracic surgery, Pediatric neurology and neurosurgery, Pediatric oncology and hematology, Pediatric gastroenterology and pulmonology
• Strong ability to interpret complex inpatient medical records, including: History & physicals, Operative reports, Consults, Progress notes, Discharge summaries
• Skilled at identifying missing, conflicting, or unclear documentation
• Ability to apply official coding guidelines when provider documentation is incomplete or unclear
• Knowledge of clinical indicators to support accurate diagnosis and procedure assignment
• Experience working collaboratively with Clinical Documentation Integrity (CDI) teams
• Ability to recognize when a provider query is clinically and compliance‑appropriate
• Understanding of AHIMA/ACDIS‑compliant query practices
• Skill in applying clarified documentation accurately post‑query
• Comfortable discussing coding logic and guideline rationale with CDI staff and providers (as appropriate)

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed