Responsibilities

• Review inpatient medical records including H&P, discharge summaries, operative reports, and progress notes
• Assign accurate ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes
• Ensure compliance with official coding guidelines, CMS, and payer policies
• Query physicians for documentation clarification when necessary
• Maintain coding accuracy, productivity, and quality benchmarks
• Participate in coding audits and respond to audit findings
• Protect patient confidentiality and comply with HIPAA regulations
• Work closely with CDI, billing, and compliance teams

Job Requirements

• Graduate of any health-related course (Nursing, HIM, Allied Health preferred)
• Active coding certification (CPC, CCS, CIC, or equivalent)
• At least 1–2 years experience in inpatient coding
• Strong knowledge of ICD-10-CM and ICD-10-PCS
• Familiarity with DRG, MS-DRG, and hospital reimbursement
• High attention to detail and analytical skills
• Ability to meet productivity and accuracy targets