[Hiring] Revenue Cycle Coder III-Inpatient Coding @CommonSpirit Health

Role Description

As our Advanced Coding & CDI Educator, you will leverage your expert knowledge in ICD-10-CM, ICD-10-PCS, and CPT-4 coding to drive excellence in our health information management (HIM) department. This critical role focuses on:

• Elevating coding accuracy
• Enhancing Clinical Documentation Improvement (CDI) practices
• Ensuring system-wide compliance with evolving regulatory standards

You will be instrumental in fostering a culture of continuous learning and precision, directly impacting our revenue cycle integrity and healthcare data quality.

Every day you will:

• Serve as a primary resource for complex coding and billing inquiries, providing authoritative guidance and problem-solving expertise
• Design, develop, and deliver comprehensive coding and CDI education programs
• Onboard new staff and conduct targeted training sessions across the health system
• Perform rigorous coding and DRG validation audits, identifying areas for improvement and facilitating follow-up education
• Monitor and communicate regulatory coding and billing changes, translating them into actionable implementation plans
• Promote standardization of best practices
• Act as a vital liaison, fostering collaborative relationships with CDI specialists, physicians, clinical quality, and patient financial services

To be successful in this advanced role, you will possess:

• Expert-level knowledge of current coding classification systems (ICD-10-CM/PCS, CPT-4)
• A deep understanding of CDI methodologies
• A proven track record in adult education and curriculum development
• Strong analytical skills for conducting coding audits and identifying educational needs
• Exceptional communication, collaboration, and interpersonal skills
• Relevant coding certifications (e.g., CCS, RHIA, CDIP)

Your responsibilities will also include:

• Accurately assigning codes from the current ICD classification systems for inpatient accounts
• Creating MS-DRG/APR-DRG assignments while adhering to coding guidelines, regulations, and compliance plan
• Abstracting additional data elements as identified by enterprise, such as administrative codes
• Coding all service lines of inpatient accounts
• Communicating effectively, staying organized, and demonstrating effective time management skills
• Adhering to the ethical standards of coding as established by AAPC and/or AHIMA
• Maintaining required levels of performance in both coding quality and productivity

Qualifications

• High School Diploma/GED required with 3+ years of recent acute care coding experience, OR an Associate's Degree in HIM/RHIT
• Must possess CCS, RHIA, or RHIT certification
• Minimum of 3+ years recent coding experience in an acute care setting, ideally within a large multi-facility organization
• Proven expertise in coding complex conditions and procedures, including major trauma, CV, orthopedic, and neurosurgery
• Demonstrated success with 3+ years of experience working effectively in a remote environment
• Proficient with 3+ years of experience utilizing various encoder and EMR systems such as Meditech, Epic, and Cerner
• Expert-level understanding of ICD (diagnostic and procedural) and CPT-4 coding classification systems

Requirements

• 4-6 years of recent inpatient medical coding experience (hospital, large multi-facility organization, etc.)
• Bachelor's degree in HIM preferred