Coder Inpatient
About The Position
Inpatient coder with recent and multiple years' experience coding in a children's hospital. This role will be for multi-specialty coding for both medicine and surgical cases. The role can be utilized in areas where the experience is strongest, thus candidates do not need to be experience all specialties but should have experience in multiple specialties. Epic and 3M 360 CAC experience required. Schedule can be flexible after initial training. For initial training candidate must be available for the first week between 8a and 4p PST. Post 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 experience required
- 3M 360 CAC experience required
- 2 + years' experience coding for either a children's hospital or extensive pediatric experience
- Able to work M-F with the majority of the shift between 8a-4p PST
- Able to pick up new workflows and technology easily
- Able to ramp up productivity in 4 weeks
- Good written and verbal communication
Nice To Haves
- Experience coding for Neonatal and pediatric intensive care (NICU/PICU)
- Experience coding Congenital anomalies and genetic disorders
- Experience coding Pediatric surgical procedures
- Experience coding Transplants, oncology, trauma, and burn cases
- Experience coding Pediatric cardiology and cardiothoracic surgery
- Experience coding Pediatric neurology and neurosurgery
- Experience coding Pediatric oncology and hematology
- Experience coding Pediatric gastroenterology and pulmonology
Responsibilities
- 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
- Ability to accurately assign Principal diagnosis, Secondary diagnoses (including MCC/CC capture), and 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
- Familiarity with pediatric subspecialties
- Strong ability to interpret complex inpatient medical records, including history & physicals, operative reports, consults, progress notes, and 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)
- Maintain 95% accuracy in all coding
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
