Coder III

Job Details

Do you want to work at one of the

Top 100 Hospital s in the nation? We are guided by our values of Love and Excellence and are passionate about delivering health, not just health care. Come join us at Christiana Care!

Christiana Care, with hospitals in Wilmington and Newark, DE, as well as Elkton, MD, is one of the largest health care providers in the Mid-Atlantic Region. Named one of "America's Best Hospitals" by U.S. News & World Report, we have an excess of 1,100 beds between our hospitals and are committed to providing the best patient care in the region. We are proud to that Christiana Hospital, Wilmington Hospital, our Ambulatory Services, and Home Health have all received ANCC Magnet Recognition.

Christiana Care is looking for a full-time Sr. Coder (Coder III) who will be responsible for accurate and timely assignment of ICD 10 CM/PCS and HCPCS/CPT codes, payment group classification assignment and data abstraction for reimbursement purposes and statistical information reporting on all Inpatient, Outpatient, Emergency Medicine, Ancillary and Diagnostics records, and/or any other patient records for which HIMS Department performs coding services.

• Reviews and interprets Inpatient, Outpatient, Ancillary, Diagnostics and Emergency Medicine or other patient type records in order to assign appropriate ICD 10 CM/PCS diagnosis and procedure codes and/or HCPCS/CPT procedure codes as required.
• Performs coding and abstracting tasks to support data quality and statistics, and calculation of severity of illness and risk of mortality reporting.
• Utilizes information on diagnostic reports to accurately code patient charts.
• Works within service line structure where applicable based on patient type.
• Abstracts pertinent data, determines, and sequences codes for diagnoses and procedures.
• Utilizes coding and abstracting system as a communication tool, as outlined in the HIMS Coding DNFB Tagging procedures, including but not limited to placing accounts on hold in order to ask questions to management and initiate queries.
• Provides all necessary coded and abstracted information required for final coding and billing of accounts within efficiency expectations by work type to support department and organization goals for DNFB dollar amounts and bill hold days.
• Reviews pre-populated patient demographic information fed via HL7 from source system into coding system and makes necessary abstracted data changes in coding systems.
• Utilizes coding system to calculate all inpatient encounters in both MS DRG and APR DRG groupers to support the accurate reporting of coded data.
• Uses coding system to sequence CPT codes invoking the APC grouper methodology to arrive at the accurate CPT code hierarchy.
• Submits timely, accurate, and concise daily productivity reports in accordance with department policy and practice.
• Reports errors as identified in patient identification, account or encounter information, documentation or other medical record discrepancies as they are noted during daily work performance.

• College Degree in Health Information Management, Completion of AHIMA Approved Certificate Program, or one-year coding experience in the acute care setting coding Inpatient, Observation, Emergency Medicine or Same Day Surgery is required.
• Associate or Bachelor Science degree in Health Information Technology preferred.
• An equivalent combination of education and experience may be substituted.

• Collaborative and team focused environment
• Full Medical, Dental, Vision, Life Insurance, etc.
• 403(b)
• Generous paid time off
• Incredible Work/Life benefits including annual membership to , access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets and much more!

Hourly Pay Range: $27.31 - $40.96. This pay rate/range represents Christiana Care's good faith and reasonable estimate of compensation at the time of posting. The actual salary within this range offered to a successful candidate will depend on individual factors including, without limitation, skills, relevant experience, and qualifications as they relate to specific job requirements.

Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.

Jan 1, 2026

Christiana Care offers a competitive suite of employee benefits to maximize the…