Inpatient Coder- Hospital

Guidehouse•Birmingham, AL

12d•$59,000 - $98,000

About The Position

The Inpatient Coder performs quality coding on inpatient hospital accounts, including Medicare and non-Medicare cases and surgical, medical, cardiac, maternal/newborn, trauma, and rehabilitation cases. The role applies ICD-10-PCS, governmental regulations, official coding guidelines, and third-party documentation and billing requirements to ensure services documented in patient charts are coded appropriately. When documentation is insufficient, the coder seeks appropriate clarification promptly in accordance with facility standards. The position is expected to maintain 96% coding accuracy and meet productivity expectations, generally one inpatient chart per hour for final coding. Productivity expectations may change based on client agreements or management decisions, and management will communicate applicable expectations before a client project assignment. The coder follows facility policies and procedures, works pending queues daily, follows query and CDI reconciliation processes, and handles rebill corrections and communication with the facility daily. Downtime must be reported promptly, and coding or billing questions from physicians or hospitals must be answered accurately within eight hours of request.

Requirements

High school diploma or equivalent.
One of the following credentials: RHIA, RHIT, or CCS.
At least 5 years of inpatient facility coding experience.
Rehabilitation inpatient facility coding experience with admissions (IRF/PAI) and discharges.

Nice To Haves

Knowledge of anatomy, physiology, and medical terminology.
Associate degree.

Responsibilities

Code inpatient hospital accounts, including Medicare/non-Medicare, surgical, medical, cardiac, maternal/newborn, trauma, and rehabilitation cases.
Apply ICD-10-PCS, governmental regulations, official coding guidelines, and third-party documentation and billing requirements.
Ensure all services documented in patient charts are coded with appropriate ICD-10/PCS codes.
Seek appropriate documentation in a timely manner when services or diagnoses are not sufficiently documented.
Maintain 96% coding accuracy while meeting productivity standards, generally one inpatient chart per hour for final coding.
Follow facility-specific policies and procedures.
Work pending queues daily.
Follow facility query policies and the CDI reconciliation process.
Correct charts requiring rebills and communicate them to the facility daily for rebilling.
Report coder downtime immediately to administrative staff.
Provide accurate answers to physician and hospital coding or billing questions within eight hours of a request.

Benefits

Medical, prescription drug, dental, and vision insurance.
Personal and family sick time and company-paid holidays.
Position may be eligible for a discretionary variable incentive bonus.
Parental leave.
401(k) retirement plan.
Basic life and supplemental life insurance.
Health Savings Account and dental/vision and dependent care Flexible Spending Accounts.
Short-term and long-term disability.
Tuition reimbursement, personal development, and learning opportunities.
Skills development and certifications.
Employee referral program.
Corporate-sponsored events and community outreach.
Emergency back-up childcare program.
Flexible benefits package.