Senior Certified Coding Associate

Job Title : Inpatient Coder

Type : Full Time

Location : Remote

Position Summary :

The Inpatient Medical Coder at SRMC is responsible for accurately reviewing and assigning ICD-10-CM and ICD-10-PCS codes to patient records for inpatient encounters, ensuring that documentation supports correct MS-DRG / APR-DRG assignment, severity of illness, and risk of mortality. The coder ensures compliance with federal coding guidelines, hospital standards, and payer-specific requirements. The role is critical in supporting revenue integrity, clinical accuracy, and quality reporting for the hospital.

Key Responsibilities :

Medical Record Coding & Review :

• Assign ICD-10-CM diagnosis and ICD-10-PCS procedure codes to inpatient medical records using official guidelines and facility coding policies.
• Validate principal diagnosis, secondary diagnoses, and procedures to determine the appropriate MS-DRG / APR-DRG assignment.
• Apply POA indicators and flag Hospital Acquired Conditions (HACs) as applicable.
• Interpret complex clinical documentation from physicians and specialists across service lines.
• Abstract and enter coded data into the hospital's EHR and encoder systems (e.g., 3M, Epic, or similar platforms).

Clinical Documentation Integrity (CDI) and Query Process :

Compliance & Reporting :

Quality & Productivity :

Qualifications :