Revenue Cycle Coder III-Inpatient Coding
About The Position
As our Advanced Coding & CDI Educator, you will leverage your expert knowledge in ICD-10-CM, ICD-10-PCS, and CPT-4 coding to drive excellence in our health information management (HIM) department. This critical role focuses on elevating coding accuracy, enhancing Clinical Documentation Improvement (CDI) practices, and ensuring system-wide compliance with evolving regulatory standards. You will be instrumental in fostering a culture of continuous learning and precision, directly impacting our revenue cycle integrity and healthcare data quality. Every day you will serve as a primary resource for complex coding and billing inquiries, providing authoritative guidance and problem-solving expertise. You will design, develop, and deliver comprehensive coding and CDI education programs, onboarding new staff, and conducting targeted training sessions across the health system. A key part of your role involves performing rigorous coding and DRG validation audits, identifying areas for improvement, and facilitating follow-up education. You'll actively monitor and communicate regulatory coding and billing changes, translating them into actionable implementation plans, and promoting standardization of best practices. Furthermore, you will act as a vital liaison, fostering collaborative relationships with CDI specialists, physicians, clinical quality, and patient financial services to uphold the accuracy and integrity of all inpatient medical records. To be successful in this advanced role, you will possess expert-level knowledge of current coding classification systems (ICD-10-CM/PCS, CPT-4) and a deep understanding of CDI methodologies. You must have a proven track record in adult education and curriculum development, with an ability to present complex information clearly and engagingly. Strong analytical skills for conducting coding audits and identifying educational needs are essential. Exceptional communication, collaboration, and interpersonal skills are crucial for building effective working relationships across various departments and influencing positive change in coding compliance and documentation improvement practices. Relevant coding certifications (e.g., CCS, RHIA, CDIP) are expected. Accurately assigns codes from the current ICD classification systems for inpatient accounts, creates MS-DRG/APR-DRG assignments while adhering to coding guidelines, regulations and compliance plan Abstract additional data elements as identified by enterprise, such as administrative codes Must be able to code all service lines of inpatient accounts Ability to communicate effectively, stay organized, and demonstrate effective time management skills Adhere to the ethical standards of coding as established by AAPC and/or AHIMA Adhere to and maintain required levels of performance in both coding quality and productivity
Requirements
- Expert-level knowledge of current coding classification systems (ICD-10-CM/PCS, CPT-4).
- Deep understanding of CDI methodologies.
- Proven track record in adult education and curriculum development.
- Ability to present complex information clearly and engagingly.
- Strong analytical skills for conducting coding audits and identifying educational needs.
- Exceptional communication, collaboration, and interpersonal skills.
- High School Diploma/GED required.
- 3+ years of recent acute care coding experience.
- CCS, RHIA, or RHIT certification.
- Minimum of 3+ years recent coding experience in an acute care setting.
- Proven expertise in coding complex conditions and procedures, including major trauma, CV, orthopedic, and neurosurgery.
- Demonstrated success with 3+ years of experience working effectively in a remote environment.
- Proficient with 3+ years of experience utilizing various encoder and EMR systems such as Meditech, Epic, and Cerner.
- Expert-level understanding of ICD (diagnostic and procedural) and CPT-4 coding classification systems.
Nice To Haves
- Associate's Degree in HIM/RHIT.
- Experience within a large multi-facility organization.
- Experience in a Level I/II trauma or teaching hospital.
- 5 years of recent inpatient medical coding experience (hospital, large multi-facility organization, etc.).
- Bachelors Other in HIM.
Responsibilities
- Serve as a primary resource for complex coding and billing inquiries, providing authoritative guidance and problem-solving expertise.
- Design, develop, and deliver comprehensive coding and CDI education programs, onboarding new staff, and conducting targeted training sessions across the health system.
- Perform rigorous coding and DRG validation audits, identifying areas for improvement, and facilitating follow-up education.
- Monitor and communicate regulatory coding and billing changes, translating them into actionable implementation plans, and promoting standardization of best practices.
- Act as a vital liaison, fostering collaborative relationships with CDI specialists, physicians, clinical quality, and patient financial services to uphold the accuracy and integrity of all inpatient medical records.
- Accurately assign codes from the current ICD classification systems for inpatient accounts.
- Create MS-DRG/APR-DRG assignments while adhering to coding guidelines, regulations and compliance plan.
- Abstract additional data elements as identified by enterprise, such as administrative codes.
- Code all service lines of inpatient accounts.
- Communicate effectively, stay organized, and demonstrate effective time management skills.
- Adhere to the ethical standards of coding as established by AAPC and/or AHIMA.
- Adhere to and maintain required levels of performance in both coding quality and productivity.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
