HIM Coder - Inpatient

Froedtert South•Kenosha, WI

About The Position

The Inpatient Coder reviews inpatient medical records and assigns accurate diagnosis and procedure codes to support quality care, compliance, and appropriate reimbursement. The role applies ICD-10-CM/PCS coding guidelines and established standards, and ensures that documentation supports assigned codes. The coder works with clinical and revenue cycle teams, identifies coding or documentation concerns and seeks clarification when appropriate, and maintains accuracy, productivity, and compliance with coding standards. The role also requires staying current with coding guidelines, regulatory requirements, and organizational policies, while protecting patient confidentiality and maintaining HIPAA compliance.

Requirements

  • High school diploma or equivalent (GED).
  • RHIA (Registered Health Information Administrator) or RHIT (Registered Health Information Technician) certification.
  • Strong knowledge of ICD-10-CM/PCS coding.

Nice To Haves

  • Associate degree in Health Information Technology (HIT).
  • Inpatient coding experience; 1–3 years preferred.

Responsibilities

  • Review inpatient medical records and assign accurate diagnosis and procedure codes.
  • Apply ICD-10-CM/PCS coding guidelines and established standards.
  • Ensure documentation supports assigned codes.
  • Collaborate with clinical and revenue cycle teams.
  • Identify documentation or coding concerns and seek clarification when appropriate.
  • Maintain accuracy, productivity, and compliance with coding standards.
  • Stay current with coding guidelines, regulatory requirements, and organizational policies.
  • Protect patient confidentiality and maintain HIPAA compliance.

Benefits

  • Medical, dental, and vision insurance.
  • Retirement plan with employer contribution.
  • Paid Time Off (PTO).
  • Tuition reimbursement.
  • Career development opportunities.
  • Employee discount programs.
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