Health Information Management Inpatient Coder

Prisma Health

. Code medical information into Prisma billing/abstracting systems using professional and regulatory coding guidelines .

Posted 11/10/2026full-timeRemote • South Carolina • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in inpatient coding, including the use of ICD and ICD-PCS codes, while ensuring compliance with regulatory guidelines and maintaining accuracy in medical documentation. Proficient in collaborating with clinical documentation specialists and utilizing coding systems to enhance coding practices.

Highest-signal resume keywords

Inpatient Coding ExperienceICD And ICD-PCS CodingRHIT, RHIA, CCS, CIC CertificationEPIC Health Information System ExperienceKnowledge Of Medical Terminology

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical CodingDocumentation ValidationDRG AssignmentMCC/CC, HAC/PSI Data VerificationPOA Indicator AssignmentElectronic Medical Records KnowledgeComputer-Assisted Coding Software Proficiency3M Or Encoder System KnowledgeMS DRG Prospective Payment System KnowledgeBasic Anatomy And Physiology Knowledge

Soft Skills

Ability To Concentrate For Extended PeriodsIndependent Decision-MakingCollaboration With Clinical Documentation Specialists

Certifications & Qualifications

RHITRHIACCSCICCoding Certificate Through AHIMA

Industry Keywords

Prisma Billing SystemsAcute Care SettingAmbulatory SettingClinical Documentation ImprovementCoding Guidelines Compliance

About the role

Key responsibilities & impact

Code medical information into Prisma billing/abstracting systems using professional and regulatory coding guidelines
Perform inpatient coding for major traumas and NICU records using ICD and ICD-PCS codes and assign DRGs
Abstract, assign, and verify MCC/CC, HAC/PSI, and Quality Indicator data through documentation validation
Assign appropriate POA indicators and code for multiple facilities
Review clinical documentation to select principal diagnoses, sequence risk adjustment diagnoses, and verify DRGs and severity indicators
Review and prioritize coding work queues within designated timelines
Follow up daily on on-hold accounts for final coding
Identify and request physician queries when documentation is unclear or ambiguous
Address open queries initiated by Clinical Documentation Specialists before final coding
Maintain complete, accurate, timely, and consistent coding in compliance with Prisma Health policies
Meet department productivity and accuracy standards and escalate coding concerns
Consult with and collaborate with clinical documentation specialists on coding and documentation practices
Participate in training workshops and CDI-Coding Task Force activities
Perform other duties as assigned

Requirements

What you’ll need

Certification Program or Associate degree or Coding Certificate through American Health Information Management (AHIMA) or other approved coding certification program
Three (3) years coding experience in an acute care or ambulatory setting
Inpatient coding experience
EPIC health information system experience preferred
RHIT, RHIA, CCS, CIC or other approved coding credential required
Knowledge of electronic medical records and 3M or Encoder System
Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology
Knowledge of MS DRG prospective payment system and severity systems
Proficiency using official coding books, electronic medical records, computer-assisted coding/encoding software, and clinical documentation information systems
Ability to concentrate for extended periods of time
Ability to work and make decisions independently
Successful completion of the IP Coder Associate program or coder associate may be considered in lieu of stated education and experience requirements

Benefits

Comp & perks

Bonus eligible
Full-time employment
Day shift