Inpatient Coder

Inpatient Medical Coder role focused on reviewing inpatient medical records, assigning accurate ICD-10-CM and ICD-10-PCS codes, ensuring proper DRG assignment, and supporting compliant reimbursement practices. This position works with clinical documentation, CDI, billing, and compliance teams to maintain coding accuracy and quality.

Responsibilities include:

• Review inpatient records from admission through discharge for completeness and accuracy
• Assign ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes
• Identify and sequence principal and secondary diagnoses
• Ensure proper DRG assignment for reimbursement
• Evaluate documentation for severity of illness and risk of mortality
• Query physicians to clarify incomplete, unclear, or conflicting documentation
• Maintain compliance with federal regulations, payer requirements, and organizational policies
• Collaborate with CDI specialists, clinical staff, and billing departments
• Meet productivity and quality benchmarks
• Stay current on coding updates, compliance regulations, and industry guidelines