Medical Record Coder Inpatient

Job Overview

Job Description Inova Systems Operations is looking for a dedicated Medical Records Coder 4 for Inpatient. This role will be full-time day shift with a negotiable schedule.

• Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
• Retirement:
  Inova matches the first 5% of eligible contributions – starting on your first day.
• Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
• Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
• Work/Life Balance: offering paid time off and paid parental leave.

• Assigns Diagnosis Related Groups that are supported by medical record documentation for inpatient records.
• Assigns Discharge Disposition that is supported by medical record documentation for inpatient records.
• Ensures that coded records align with productivity standards and quality expectations.
• Assigns accurate/complete ICD-10-CM/PCS codes and Present on Admission status indicators that are supported by medical record documentation for inpatient records.

• Education:
  
  High School Diploma or GED.
• Experience:
  
  Two years of experience directly related to facility inpatient coding in ICD-10-CM/PCS.
• Certification: RHIA, RHIT or CCS certification (Registered Health Information Administrator/Technician or Certified Coding Specialist).

• Code and abstract patient records accurately and efficiently, ensuring compliance with ICD-10-CM/PCS guidelines.
• Review and analyze medical records to identify relevant diagnoses, procedures, and other clinical information.
• Assign appropriate ICD-10-CM/PCS codes based on the documentation provided by healthcare professionals.
• Collaborate with physicians and other healthcare providers to clarify and obtain additional information when needed.
• Maintain a high level of coding accuracy and productivity, meeting departmental standards and timelines.
• Stay updated with coding guidelines, regulations, and industry best practices to ensure compliance.
• Participate in quality improvement initiatives and audits to maintain the integrity of medical records.
• Provide coding education and support to less experienced coders, fostering a culture of continuous learning.
• Assist with special projects and initiatives as assigned by the coding supervisor or manager.

We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare.

Inova Health System is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.