Coder - Inpatient

Rochester Regional Health

3d • $22 - $33 • Remote

About The Position

Review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM and ICD-10-PCS codes for billing, internal and external reporting, research, and regulatory compliance. Demonstrate knowledge of reimbursement methodologies and apply them to assigned charts to optimize reimbursement and/or resolve regulatory edits. Resolve error reports associated with the billing process, identify and report error patterns, and, when necessary, assist in designing and implementing workflow changes to reduce billing errors.

Requirements

• One applicable advanced coding certification credential is required: CCS, CCS-P, CPC, CPC-H, CMC, RHIT, RHIA, CPC-A, or a specialty coding certification.
• An associate degree from an accredited AHIMA program requires sitting for the RHIT exam within one year of hire.
• Education: Associate degree in Health Information Management is required.
• For homecare, Homecare Diagnosis Coding Specialist (HCS-D) certification is required within 16 months of hire.

Nice To Haves

• At least 2 years of progressive coding experience in a hospital or multi-specialty physician practice setting is preferred.

Responsibilities

• Review inpatient medical records and assign diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS.
• Adhere to AHIMA ethical coding standards, official coding guidelines, and RRH/HIM policies and procedures.
• Meet departmental productivity standards while maintaining 95% coding accuracy.
• Use Care Connect, UDS, and Clintegrity systems for coding and DRG assignment.
• Formulate compliant physician coding queries when documentation is inadequate, ambiguous, or unclear.
• Accurately enter and update coding data, including POA indicators, point of origin, and discharge disposition.
• Resolve workflow edits, billing errors, and coding-related claim issues in a timely manner.
• Support physicians and clinical quality staff with documentation improvement, coding reimbursement, and quality review processes.

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree