Inpatient Medical Records Coder

Position Summary

Codes accurately and productively with abstraction to assigned inpatient medical records to meet the reimbursement, indexing, and statistical requirements of the hospital. Consistently maintains production and accuracy standards at all times.

• Accurately code and sequence all diagnoses and procedures documented in the medical record according to the established official coding guidelines, principles, and appropriate reimbursement standards.
• Utilizes Computer Assisted Coding software program following assigned workflows.
• Accurately abstracts required data entering into Computer Assisted Coding system.
• Works with Clinical Documentation Improvement Specialists to assure clear, concise, and specific documentation from physicians when clarification is needed.
• Issues accurate coding queries following AHIMA compliant coding query guidelines and assists medical staff member documentation clarification.
• Ability to meet and sustain Silver Cross Hospital production and quality standards for IP coding, post training.
• Assists with special projects and reports as requested.
• Promotes a clean and safe environment of care, utilizing the SAFE error prevention habits.
• Provides the highest standard of privacy and confidentiality in matters involving patients, coworkers, and the hospital by abiding by the Standards of Conduct.

• Registered Health Information Technologist (RHIT) or Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS).
• MS-DRG knowledge required; APR-DRG knowledge a plus.
• 2–3 years of Acute Care Hospital Coding experience.
• 3M Encoder experience preferred.
• Experience with Cerner, Meditech, Optum System preferred.

Days, Full-time Remote;
Flexible schedule.

The pay for this position is $25.84 - $38.76. The expected pay for this position is listed below: $25.84 - $32.30. The final pay rate offered may be more than the posted range based on several factors including licensure, certifications, work experience, education, knowledge, demonstrated abilities, internal equity, market data, and more.

• Medical, Dental and Vision plans.
• Life Insurance.
• Flexible Spending Account.
• Other voluntary benefit plans.
• PTO and Sick time.
• 401(k) plan with a match.
• Wellness program.
• Tuition Reimbursement.
• Registry employees who meet eligibility may participate in our 401(k) Savings plan with a potential match. However, registry employees are ineligible for Health and Welfare benefits.