Certified Inpatient Coder

Job Summary

To support accurate coding and compliance in a remote environment, the full-time Certified Inpatient Coder will review and abstract inpatient medical records, assign appropriate ICD-10 codes for diagnoses and procedures, and ensure adherence to federal and state reporting requirements.

Key responsibilities

• Reviews medical record documentation to identify and accurately code diagnoses and procedures using ICD-10 coding conventions
• Queries physicians for clarification on documentation when code assignments are unclear or inadequate
• Maintains compliance with coding guidelines and meets established productivity standards while minimizing errors

Required qualifications

• High School Diploma or GED required; Associate's degree in Health Information Management or a related field preferred
• Certification as a Certified Inpatient Coder (CIC) or equivalent coding certification from AHIMA or AAPC required
• Three years of inpatient hospital coding experience required, with preference for experience in a level 1 trauma facility
• Strong knowledge of ICD-10-CM and PCS coding, along with human anatomy and medical terminology
• Proficient in navigating a Windows-based application environment