Inpatient Coder

**Employment Type:**

Full time

**Shift:**

**Description:**

Performs coding of daily discharges with adherence to the official coding and reporting guidelines.

Full Time -

Days

Position Summary:

Under direct supervision, reviews physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure, and secondary procedures. Assigns appropriate Medicare Severity Diagnosis Related Groups (MS-DRG), All Patient Refined DRGs (APR), Present on Admission (POA), as well as Severity of Illness (SOI) & Risk of Mortality (ROM) indicators for Inpatient records. Identifies Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement.

Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments.

Assigns appropriate code(s) by utilizing coding guidelines established by:

• The Centers for Disease Control (CDC), ICD-CM Official Coding Guidelines for Coding and Reporting, Centers for Medicare/Medicaid Services (CMS) ICD-PCS Official Guidelines for Coding and Reporting

• American Hospital Association (AHA) Coding Clinic for International Classification of Diseases, Clinical Modification

• American Health Information Management Association (AHIMA) Standards of Ethical Coding

• Revenue Excellence/HM coding procedures and guidelines

Position Requirements:

Minimum Education: Required: High School Diploma plus training acquired through work experience or education

Preferred: Associates Degree OR equivalent training acquired via work experience or education

Minimum Experience: Required: 1-2 years of previous job-related experience

Preferred: 3-5 years of previous job-related experience

Licensure/Certifications: Required: Certified Coding Associate (AHIMA) or, Certified Coding Specialist (AHIMA) or, Certified Coding Specialist Physician Based (AHIMA) or, Registered Health Information Administrator (AHIMA) or, Registered Health Information Technician (AHIMA)

**Our Commitment**

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran