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Inpatient Coding Specialist
2 weeks ago
Job Title: Inpatient Coding Specialist
About the Role:
We are seeking a skilled and experienced Inpatient Coding Specialist to join our team. As a key member of our coding department, you will be responsible for designing and delivering training programs on inpatient coding best practices, clinical documentation standards, and regulatory compliance.
Key Responsibilities:
- Develop and facilitate training programs on ICD-10-CM, ICD-10-PCS, DRG assignment, documentation improvement, and compliance requirements.
- Conduct onboarding sessions for new inpatient coders and refresher training for existing staff.
- Collaborate with QA and Operations teams to identify training needs based on audit trends, updates, and performance data.
- Translate clinical documentation requirements into practical, coder-friendly guidance to support accurate and complete code assignment.
- Monitor learner progress and provide feedback through assessments, coaching sessions, and follow-up training.
- Stay updated on the latest coding guidelines, CDI practices, payer expectations, and industry trends.
- Assist in the development of internal training materials, coding tip sheets, and documentation guides.
Requirements:
- Associates or Bachelor's degree in Health Information Management, Nursing, or a related field preferred.
- Active CCS (Certified Coding Specialist), CDI certification (e.g., CCDS or CDIP), or equivalent credential required.
- Minimum 3-5 years of inpatient coding experience, with prior training, mentoring, or CDI involvement.
- Strong understanding of MS-DRG/APR-DRG systems, official coding guidelines, and CDI principles.
- Proficient with EMR systems, encoder software (e.g., 3M, Optum), and training platforms.
- Familiarity with HIPAA regulations and coding compliance standards.
Preferred Skills:
- Prior experience conducting virtual and/or in-person training sessions.
- Ability to communicate technical content clearly to both novice and experienced coders.
- Strong presentation, coaching, and documentation development skills.
- Experience working across varied hospital or provider documentation systems is a plus.