Inpatient Coder (Gila)

Required Skills & Experience

• 3+ years of recent inpatient facility coding experience.
• Experience coding inpatient observations.
• Experience with facility-based SDS (same day surgery) coding for surgical procedures
• Experience coding injections and infusions
• Strong understanding of ICD-10-CM, ICD-10-PCS, and applicable outpatient coding guidelines
• Excellent communication skills and a high level of professionalism

Job Description

We are seeking Facility Inpatient Coders with at least three years of experience. The Inpatient Coder will be responsible for reviewing hospital patient medical records and assigning accurate diagnostic or procedural codes (ICD-10-CM/PCS, DRGs) to ensure proper reimbursement, accurate data for reporting, and compliance with healthcare regulations.

Key responsibilities:

• Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding.
• Submit necessary provider queries to resolve documentation discrepancies.
• Perform quality assessment of records, including verification of medical record documentation.
• Responsible for researching errors or missing documentation from medical records to provide accurate coding processes.
• Abstracts and assigns the appropriate ICD-10-CM/PCS codes for all diagnoses and procedures performed in the outpatient and inpatient settings as applicable.