HB Inpatient Coder Senior

At UK St. Claire, our staff is our greatest asset in the mission to create a healthier and more prosperous population. We strive to foster the talent and potential of our employees and prioritize safe working conditions and equal compensation rates to ensure that continual growth is possible. UKSC is a nurturing workplace for all healthcare professionals. We invite you to explore our current job openings and see if our opportunities could be the right fit for you.

Job Description:

Job Summary

Responsible for performing complex inpatient coding and ensuring accuracy, compliance, and timeliness in hospital billing. Provides advanced expertise in ICD-10-CM, ICD-10-PCS coding, and DRG assignment to optimize reimbursement and reduce denials. Ensures coding accuracy by reviewing high-complexity cases and participating in audits. Coordinates with providers, CDI specialists, and revenue cycle staff to improve documentation and coding quality.

Essential Functions

• Performs comprehensive analysis of inpatient clinical documentation to accurately assign ICD-10-CM and ICD-10-PCS codes in compliance with Office Coding Guidelines.

• Responsible for coding wide range of inpatient cases from moderately to highly complex across all medical specialties including patients with various lengths of stay and diverse clinical presentation.

• Responsible for ensuring accurate MS-DRG, Discharge Disposition and Present on Admission (POA) code assignment.

• Maintains and consistently exceeds departmental productivity and quality standards.

• Plans and prioritizes work to meet commitments aligned with organizational goals.

• Utilizes encoder software efficiently to support accurate MS-DRG assignment.

• Reviews clinical documentation for accuracy and clarity and initiates provider queries to resolve discrepancies.

• Serves as a resource for coding staff on difficult or unusual coding scenarios.

• Identifies coding errors and provides feedback to improve accuracy.

• Participate in quality improvement initiatives related to coding.

• Tracks and analyzes coding-related denials and supports appeals processes.

• Performs other duties as assigned.

Education Requirement: High school diploma or equivalent; Bachelor’s degree preferred

Experience Requirement: 3-5 years of progressive inpatient coding experience in an acute care or hospital environment

An equivalent combination of education and experience may be considered. All experience must be paid and in the same related field. Part-time and PRN experience will be prorated based on hours worked per week. Volunteer work and internships for academic credit are not counted.

Certifications & Licensures: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) Certified Professional Coder Apprentice (CPC-A), Certified Coding Associate (CCA), or Certified Coding Specialist – Physician-based (CCS-P) preferred

Working Conditions

A. Lifting, pushing, and/or pulling objects up to 50lbs:2. Occasional (< 10% of the time)

B. Lifting, pushing, and/or pulling objects over 50lbs:1. Never

C. Standing or walking with objects up to 10lbs:3. Intermittent (10% - 50% of the time)

D. Standing or walking with objects up to 25lbs:2. Occasional (< 10% of the time)

E. Sitting at the computer workstation for extended periods:3. Intermittent (10% - 50% of the time)

F. Risk of back injury from moving, lifting or positioning patients, equipment, or materials:2. Occasional (< 10% of the time)

G. Repetitive motion:3. Intermittent (10% - 50% of the time)

H. Working at heights above 4 feet:1. Never

I. Working in confined spaces:1. Never

J. Risk of injuries from use of equipment on the job:2. Occasional (< 10% of the time)

K. Job-related travel:2. Occasional (< 10% of the time)

L. Loud noises:1. Never

M. Temperature extremes:1. Never

N. Hazardous chemicals and fumes including waste:2. Occasional (< 10% of the time)

O. Radiation:1. Never

P. Burns:1. Never

Q. Cuts/Punctures:2. Occasional (< 10% of the time)

R. Bloodborne/airborne pathogens:2. Occasional (< 10% of the time)

S. Recombinant DNA or viral vectors:1. Never

T. Combative/violent people:1. Never

U. Animal handling (including carcasses):1. Never

V. Please specify other(s) and amount of exposure (i.e. Occasional, Intermittent or Regular): N/A

Physical Demands

This position requires intermittent sitting at a computer workstation for extended periods of time; performing tasks with repetitive motions (such as typing); intermittent standing or walking with objects weighing up to 10 pounds; occasional standing or walking with objects weighing up to 25 pounds; and occasional lifting, pushing, or pulling objects weighing up to 50 pounds.

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