Inpatient Coding Specialist

Description We are looking for an Inpatient Coding Specialist to join our team in Sacramento, California. This contract position involves reviewing and analyzing medical records to accurately assign diagnostic and procedural codes based on established guidelines and regulations. The role requires a thorough understanding of inpatient coding principles to ensure compliance with federal and state requirements while supporting efficient revenue cycle processes.

Responsibilities:

• Accurately assign ICD-10-CM and

ICD-10-PCS

codes to inpatient records based on medical documentation.

• Ensure proper grouping into Medicare Severity Diagnosis Related Groups (DRG) or All Patient Refined Diagnosis Related Groups (APR-DRG) for optimal reimbursement.
• Abstract required data elements from medical records in alignment with facility-specific guidelines.
• Monitor discharged but not billed accounts to facilitate timely and compliant revenue cycle processing.
• Collaborate with clinical documentation specialists and medical staff to validate and enhance documentation.
• Maintain high standards of coding accuracy and productivity while adhering to quality benchmarks.
• Utilize software tools such as Epic, 3M Encoder, and other coding systems to validate and compile medical information.
• Analyze and ensure compliance with coding, billing, and data collection regulations.
• Address missing or unclear information by seeking clarification and ensuring proper documentation.
• Independently manage workload and prioritize tasks to meet departmental productivity standards. Requirements
• Proven experience in inpatient medical coding and familiarity with ICD-10-CM and

ICD-10-PCS

guidelines.

• Strong understanding of DRG assignment and reimbursement processes.
• Proficiency with coding software such as Epic, 3M Encoder, and related tools.
• Ability to interpret and abstract data from medical records accurately.
• Knowledge of federal and state regulations related to coding and billing.
• Excellent communication and collaboration skills to work effectively with clinical and administrative staff.
• Strong time management and problem-solving abilities to handle tasks independently.
• Commitment to maintaining coding accuracy and compliance with ethical standards.

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