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Hospital Inpatient Coder
Cedars-Sinai. Review medical documentation and health information in electronic medical/health systems .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in ICD-10-CM and ICD-10-PCS coding, with a strong ability to assign codes accurately based on clinical documentation. Proficient in collaborating with Clinical Documentation Integrity teams to enhance coding practices and improve documentation quality.
Highest-signal resume keywords
ICD-10-CM CodingICD-10-PCS CodingMedical Documentation ReviewCertified Professional CoderCollaboration with Clinical Documentation Integrity
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Code AssignmentData AbstractionPrincipal Diagnosis IdentificationComorbidity IdentificationCode SequencingDRG DeterminationInpatient Edits ResolutionStandard Coding Guidelines KnowledgeSocial Determinants of Health KnowledgeHierarchical Conditions Knowledge
Soft Skills
CommunicationCollaborationProblem-Solving
Tools & Technologies
EPIC (CS-Link)EPIC HB ModuleEPIC PB ModuleSolventum 360EncompassSolventum Standalone EncoderSelect Coder
Certifications & Qualifications
Registered Health Info TechRegistered Health Info AdminCertified Professional CoderCertified Coding SpecialistCertified Coding Specialist Physician
Industry Keywords
Medicare Severity Diagnosis Related GroupsAll Patient Refined Diagnosis Related GroupsClinical Documentation IntegrityHealth Information ManagementHealthcare Coding
About the role
Key responsibilities & impact- Review medical documentation and health information in electronic medical/health systems
- Assign ICD-10-CM and ICD-10-PCS codes according to standard coding guidelines
- Identify principal diagnoses, comorbidities/complications, present-on-admission indicators, and appropriate code sequencing
- Determine the most appropriate DRG representing each patient stay
- Abstract required data elements for reporting and statistical capture
- Resolve complex inpatient edits and alerts
- Communicate with Clinical Documentation Integrity team members regarding complex clinical scenarios
- Translate diagnoses, procedures, and treatment into standardized codes
- Collaborate with the CDI team to align clinical and coding approaches
- Reference anatomy, physiology, and clinical practice to support code assignment
- Identify documentation improvement opportunities and seek clarification from physicians
- Enter coded and abstracted information into assigned systems
Requirements
What you’ll need- High school diploma or GED required
- Minimum of 3 years’ work experience doing code assignment in a healthcare setting performing similar coding duties required
- Registered Health Info Tech, Registered Health Info Admin, Certified Professional Coder, Certified Coding Specialist, or Certified Coding Spec Phys required upon hire
- Knowledge of ICD-10-CM and ICD-10-PCS coding
- Knowledge of Medicare Severity Diagnosis Related Groups (MS-DRG) and All Patient Refined Diagnosis Related Groups (APR-DRG)
- Knowledge of Social Determinants of Health (SDOH), Hierarchical Conditions (HCC), and severity-impacting conditions
- Experience reviewing medical documentation and health information
- Experience with EPIC (CS-Link), EPIC HB and PB modules, Solventum 360Encompass, Solventum Standalone Encoder, Select Coder, or similar applications
- Knowledge of standard coding guidelines
- Ability to identify principal diagnoses, comorbidities/complications, present-on-admission indicators, and code sequencing
- Ability to resolve complex inpatient edits/alerts
- Ability to collaborate with Clinical Documentation Integrity teams and physicians
Benefits
Comp & perks- Paid time off
- Health care insurance
- Dental insurance
- Paid vacation
- 403(b) retirement plan
- Inclusive, dynamic work environment
- Employee engagement and innovation-focused workplace