Inpatient Coder

University of Michigan Health-Sparrow

. Review medical record documentation and assign ICD-10-CM and ICD-10-PCS codes .

Posted 10/14/2026full-timeRemote • Michigan • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical coding, including ICD-10-CM and ICD-10-PCS, with a strong focus on accuracy and compliance with coding guidelines. Proficient in collaborating with clinical teams to ensure proper documentation and coding practices while maintaining productivity and quality standards.

Highest-signal resume keywords

ICD-10-CM CodingICD-10-PCS CodingCertified Coding Specialist (CCS)Clinical Documentation Improvement (CDI)Computer-Assisted Coding

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical Record Documentation ReviewMS-DRG AssignmentData AbstractionClinical Information AnalysisCase Complexity DeterminationCode SequencingPresent-On-Admission IndicatorsCoding Guidelines ComplianceKey Performance Indicator StandardsCoding Testing

Soft Skills

CollaborationAttention to DetailCommunication

Tools & Technologies

Optum CACMicrosoft OfficeWordExcelPowerPoint

Certifications & Qualifications

Registered Health Information Management Technician (RHIT)Registered Health Information Administrator (RHIA)AHIMA MembershipAAPC Membership

Industry Keywords

Inpatient CodingAHA Coding ClinicsCMS DirectivesCoding EthicsAcademic Medical Center

About the role

Key responsibilities & impact

Review medical record documentation and assign ICD-10-CM and ICD-10-PCS codes
Assign MS-DRG or APR-DRG based on payer classification
Abstract specific and required data elements for inpatient cases
Extract, review, and analyze clinical information for billing, POA and PSI indicators, research, statistics, financial planning, compliance, and marketing
Verify patient discharge disposition and assign appropriate present-on-admission indicators
Determine case complexity using clinical knowledge of diseases, procedures, diagnostics, treatments, and prognosis
Research complex diagnoses and procedures to apply accurate codes
Capture principal diagnosis, co-existing conditions, and principal procedure for each admission
Collaborate with the CDI team and query providers to clarify documentation
Sequence codes to accurately capture Severity of Illness and Risk of Mortality
Interact with Clinical Documentation Specialists and DRG Compliance Auditors to obtain accurate documentation
Use Optum CAC according to established workflow
Attend required meetings, in-services, educational sessions, and staff meetings
Keep current with coding guidelines and quarterly AHA Coding Clinic
Maintain accuracy, quality, productivity, and key performance indicator standards

Requirements

What you’ll need

Certified Coding Specialist (CCS), Registered Health Information Management Technician (RHIT) or Registered Health Information Administrator (RHIA)
Member of AHIMA or AAPC in good standing, with paid dues and required continuing education completed
Minimum one (1) year recent facility coding experience
Per diem candidates must have minimum three (3) years of recent inpatient coding experience
High School Diploma/GED
Must pass departmental coding testing with a score of 80% or better
Experience in a major academic medical center and ICD-10-CM/PCS preferred
Microsoft Office skills and experience with Word, Excel, and PowerPoint preferred
Excellent computer skills and previous experience with computer-assisted coding and encoder/grouper preferred
Must follow official coding guidelines, AHIMA Coding Ethics, AHA Coding Clinics, CMS directives and bulletins, and applicable regulations
Must maintain required quality and productivity standards and key performance indicators

Benefits

Comp & perks

Equal Opportunity/Affirmative Action employer
Required annual learning programs and continued education
In-services, staff meetings, educational sessions, and professional development opportunities