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Hospital Coder – Inpatient
Sanford Health. Review inpatient clinical documentation, procedural information, and diagnostic results .
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, applying Official Coding Guidelines and CMS regulations to ensure compliant documentation and billing practices. Proficient in collaborating with clinical teams to enhance coding accuracy and maintain quality standards.
Highest-signal resume keywords
ICD-10-CM CodingICD-10-PCS CodingCertified Coding Specialist (CCS)Health Information Technology (Associate Degree)MS-DRGs and APR-DRGs Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
ICD-10-CM CodingICD-10-PCS CodingOfficial Coding Guidelines ApplicationCMS Regulations KnowledgeQuality Standards Maintenance
Soft Skills
CollaborationAttention to Detail
Tools & Technologies
Electronic Medical Records SoftwareEncoder Software
Certifications & Qualifications
Certified Coding Specialist (CCS)Registered Health Information Administrator (RHIA)Registered Health Information Technician (RHIT)
Industry Keywords
Clinical Documentation ImprovementQuality Reporting PracticesPayer RequirementsGovernmental Regulations
About the role
Key responsibilities & impact- Review inpatient clinical documentation, procedural information, and diagnostic results
- Accurately assign ICD-10-CM and ICD-10-PCS diagnostic and procedural codes in inpatient electronic medical records
- Apply Official Coding Guidelines, CMS regulations/guidelines, and ICD-10 coding standards
- Maintain organizational quality and productivity standards
- Stay current on coding principles, governmental regulations, coding guidelines, and payer requirements
- Support compliant documentation, billing, and coding practices
- Collaborate with providers and clinical documentation improvement and quality departments
- Standardize and enhance coding, documentation, and quality reporting practices
- Use software solutions in daily work
Requirements
What you’ll need- Associate degree in Health Information Technology (or eligible) or Bachelor's degree in Health Information Management and/or Certified Coding Specialist (CCS) required
- RHIA, RHIT, or CCS required
- New graduates eligible for certification must complete the certification examination at the earliest testing dates following employment and subsequent dates until satisfactorily completed
- Previous hospital coding experience highly desirable
- Prior computer and/or encoder software experience desirable
- Strong knowledge of MS-DRGs and APR-DRGs
- Knowledge of ICD-10-CM and ICD-10-PCS coding principles
- Knowledge of Official Coding Guidelines, CMS regulations/guidelines, governmental regulations, and third-party payer requirements
- Ability to use a variety of software solutions
- Ability to maintain quality and productivity standards
- Ability to work collaboratively with providers, clinical documentation improvement, and quality departments
Benefits
Comp & perks- Fully remote, home-based work setting
- Day shift
- 40 scheduled weekly hours
- EEO/AA protections
- Disability accommodation support for online applications