Inpatient Coder - Trauma Experience Required

Under direct supervision, the Senior Inpatient Coder accurately codes hospital inpatient accounts for appropriate reimbursement, research, statistics, and compliance with federal and state regulations using established ICD-10-CM and ICD-10-PCS classification systems.

Key Responsibilities

• Serve as a clinical coding subject matter expert
• Apply strong critical thinking skills to analyze and evaluate documentation issues in collaboration with medical staff, clinical staff, and clinical documentation specialists
• Analyze, code, and abstract complex inpatient cases including trauma, rehab, neurology, and critical care using ICD-10-CM and ICD-10-PCS to ensure accurate APR-DRG, SOI, ROM, and POA assignment
• Collaborate with senior coders and coding staff to share knowledge and provide guidance on complex cases
• Monitor assigned workload daily to support timely billing processes
• Code and abstract records within established turnaround times for each patient type
• Maintain a coding accuracy rate of 90 percent
• Maintain a productivity rate of 95 percent
• Communicate with hospital departments regarding billing and registration issues and escalate concerns to management with clear documentation
• Compose appropriate coding queries and work closely with CDI teams
• Understand PPCs, MHACs, and PQIs and their financial and quality impact
• Communicate with the auditing team to review findings and ensure accounts meet compliance standards
• Adhere to AHIMA ethical coding standards and compliance guidelines
• Support the University of Maryland Medical System mission, vision, values, goals, and policies
• Perform other duties or projects such as coding corrections as assigned by management

Hours: Operating hours are 6AM to 6PM EST

Flexible 8 or 10 hour shifts

40 hours per week within the operating timeframe

Required Qualifications

• High school diploma or equivalent
• Formal ICD-10-CM and CPT training
• Associate or Bachelor's degree preferred
• Minimum of 3 years of ICD-10-CM and ICD-10-PCS coding and abstracting experience in a Level 1 Trauma and Rehab hospital
• Trauma coding experience is required
• 4 years of inpatient hospital medical record coding experience required

One of the following certifications is required

• Certified Coding Specialist CCS
• Registered Health Information Technician RHIT
• Registered Health Information Administrator RHIA
• Certified Inpatient Coder CIC

WORK ENVIRONMENT:Fully remote position

• Must have their own equipment to work from
• Must have reliable internet and a secure work environment
• Must work EST or CST hours

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