Inpatient Coder

NYU Langone Health•Binghamton, NY

1d•Hybrid

About The Position

United Health Services (UHS) is seeking an experienced Inpatient Hospital Coder to join our Health Information Management team. In this role, you will be responsible for accurately assigning ICD-10-CM/PCS diagnosis and procedure codes for inpatient medical records, ensuring compliance with regulatory requirements and supporting timely reimbursement. At UHS, every connection matters—and your attention to detail plays a critical role in connecting quality care to accurate documentation and outcomes. Your expertise helps tell each patient’s story clearly and completely, making a real difference in both clinical and operational performance. Join us and contribute to a team where precision, integrity, and collaboration are valued every day. This position is open to a hybrid schedule for experience Inpatient Coders.

Requirements

RHIA certification with a Bachelor’s Degree in HIM; OR RHIT certification with an Associate’s Degree in HIM; OR CCS certification.
RHIT credentials must be received within 6 months of start date.
CCS credentials must be received within one year of start date.
Six months of coding experience.

Nice To Haves

Two years’ experience with inpatient coding.
Experience with encoding systems.

Responsibilities

Assign ICD-10-CM and ICD-10-PCS codes to inpatient diagnoses and procedures, ensuring accurate MS-DRG or APR-DRG grouping in accordance with official guidelines and internal policies.
Complete the appropriate number of coded records based on departmental productivity standards and accuracy requirements.
Abstract key clinical and demographic information from patient records to support billing, quality reporting, and regulatory compliance.
Utilize computer-assisted coding (CAC) tools, encoders, and official coding references to support consistent and accurate code selection.
Initiate physician queries when documentation is incomplete, ambiguous, or unclear to ensure accurate code assignment and clarify clinical intent.
Collaborate with Clinical Documentation Improvement (CDI) professionals to enhance documentation quality and identify areas for physician education.
Remain current with updates to coding guidelines, reimbursement requirements, and regulatory standards impacting inpatient coding.
Maintain patient confidentiality and comply with medico-legal standards, including record amendment procedures and release of information policies.