Coder Inpatient

Inpatient coder with recent and multiple years' experience coding in a children's hospital. This role will be for multi-specialty coding for both medicine and surgical cases. The role can be utilized in areas where the experience is strongest, thus candidates do not need to be experience all specialties but should have experience in multiple specialties. Epic and 3M 360 CAC experience required. Schedule can be flexible after initial training. For initial training candidate must be available for the first week between 8a and 4p PST. Post initial training 50% of the shift should be worked during this timeframe. This is an 8 week project. Skill & Competency Requirements 1. Core Coding Knowledge & Technical Skills Advanced knowledge of ICD‑10‑CM and ICD‑10‑PCS coding guidelines Strong understanding of MS‑DRG and APR‑DRG methodologies, including severity adjustment (SOI/ROM) Proficiency in coding complex inpatient encounters , including: Neonatal and pediatric intensive care (NICU/PICU) Congenital anomalies and genetic disorders Pediatric surgical procedures Transplants, oncology, trauma, and burn cases Ability to accurately assign: Principal diagnosis Secondary diagnoses (including MCC/CC capture) Principal and additional procedures Knowledge of Present on Admission (POA) indicators and reporting requirements Understanding of payer‑specific inpatient coding rules (Medicaid, managed care, commercial plans) 2. Pediatric & Neonatal Specialization In‑depth understanding of pediatric anatomy, physiology, and disease processes Specialized knowledge of neonatal coding , including: Birth weight and gestational age guidelines Perinatal conditions and maternal‑fetal linkage Newborn vs. neonatal vs. pediatric admission distinctions Ability to interpret and code age‑specific clinical indicators (e.g., developmental stages, weight‑based dosing, age‑related norms) Familiarity with pediatric subspecialties , such as: Pediatric cardiology and cardiothoracic surgery Pediatric neurology and neurosurgery Pediatric oncology and hematology Pediatric gastroenterology and pulmonology 3. Clinical Documentation Review & Interpretation Strong ability to interpret complex inpatient medical records , including: History & physicals Operative reports Consults Progress notes Discharge summaries Skilled at identifying missing, conflicting, or unclear documentation Ability to apply official coding guidelines when provider documentation is incomplete or unclear Knowledge of clinical indicators to support accurate diagnosis and procedure assignment 4. CDI Collaboration & Query Skills Experience working collaboratively with Clinical Documentation Integrity (CDI) teams Ability to recognize when a provider query is clinically and compliance‑appropriate Understanding of

AHIMA/ACDIS

‑compliant query practices Skill in applying clarified documentation accurately post‑query Comfortable discussing coding logic and guideline rationale with CDI staff and providers (as appropriate) 2 + years' experience coding for either a children's hospital or extensive pediatric experience Epic Experience 3M 360 CAC experience Ok with a short term assignment Able to work M-F with the majority of the shift between 8a-4p PST Able to pick up new workflows and technology easily Able to ramp up productivity in 4 weeks Maintain 95% accuracy in all coding Good written and verbal communication