Inpatient Coding Specialist II

Stanford Health Care

. Review medical record documentation and assign accurate ICD-10 diagnosis and procedure codes .

Posted 10/30/2026full-timeRemote • California • United StatesMid-LevelSenior💰 $66 - $74 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in ICD-10 coding, MS-DRG and APR-DRG assignment, and compliance with CMS requirements. Proficient in utilizing health information systems and coding software to ensure accurate medical record documentation and data abstraction.

Highest-signal resume keywords

ICD-10 CodingMS-DRG AssignmentCPT-4 CodingRHIA CertificationHealth Information Systems

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

ICD-10-CM/PCS CodingData AbstractionMedical Record DocumentationDRG Grouping SchemesMedical TerminologyAnatomy and Physiology KnowledgeCorrect Coding Initiatives (CCI)CMS ComplianceUHDDS StandardsCoding Conventions

Tools & Technologies

3M Encoder3M Audit Expert3M CDISEpicMS Office

Certifications & Qualifications

RHIARHITCCS

Industry Keywords

Clinical DocumentationDischarged Not Billed AccountsCompliance StandardsHealth Information ManagementCoding Ethics

About the role

Key responsibilities & impact

Review medical record documentation and assign accurate ICD-10 diagnosis and procedure codes
Assign the correct MS-DRG or APR-DRG, discharge disposition, admission source, and POA indicators
Abstract required data according to facility specifications
Monitor Discharged Not Billed accounts and ensure timely, compliant inpatient account processing
Collaborate with Clinical Documentation Specialists and medical staff to ensure complete documentation
Maintain established quality and productivity standards
Stay current with CMS requirements, CCI edits, HACs, PSIs, NCDs, LCDs, and modifiers
Use 3M Encoder, 3M Audit Expert, 3M CDIS, abstracting systems, Epic, MS Office, and other software to validate medical information
Follow Stanford Health Care policies and procedures
Attend required meetings, educational sessions, and annual learning programs

Requirements

What you’ll need

High School Diploma or GED equivalent
Five (5) years of progressively responsible and directly related work experience
Successful completion of the Coder Proficiency Exam (pre-hire)
Ability to comply with the American Health Information Management Association’s Code of Ethics and Standards and apply Uniform Hospital Discharge Data Set (UHDDS) standards
Ability to utilize ICD-10-CM/PCS and CPT-4 coding conventions; abstract information from medical records; read medical record documentation; assign accurate codes for MS-DRGs and APR-DRGs
Knowledge of diagnosis/procedure DRG grouping schemes such as MS-DRGs and APR-DRGs
Knowledge of health information systems, medical records coding systems, medical terminology, anatomy and physiology, and diseases
Knowledge of Correct Coding Initiatives (CCI) and CMS compliance issues
RHIA, RHIT, or CCS certification
Ability to use computer systems and software used in the functional area