Job Title: Coder Analyst Inpatient
Location: New York
Hire Type: Temp to Hire
Pay Range: $26.44 - $39.66/hour
Work Type: Full-time
Work Model: Remote
Work Schedule: Monday – Friday, 8am – 5pm
Recruiter Contact: Luisa Beato, LBeato@imaginestaffing.net
Nature & Scope:
Positional Overview
The Imagine Group is recruiting for a Coder Analyst Inpatient on behalf of our client, a leading not-for-profit healthcare system, providing a comprehensive network of hospitals, outpatient services, rehabilitation, home care, and long-term care to patients throughout Western New York. The organization is committed to delivering compassionate, patient-centered care across a full spectrum of medical specialties while fostering a mission-driven culture of quality, dignity, and community service.
In this role, you will be responsible for accurately reviewing and assigning diagnostic and procedural codes for inpatient medical records to support billing, clinical documentation improvement, and regulatory compliance. You will work closely with clinical teams and Health Information Management staff to ensure coding accuracy, resolve discrepancies, and contribute to quality reporting and reimbursement integrity.
Role & Responsibility:
Tasks That Will Lead to Your Success
- Identifies all diagnoses and procedures eligible for coding, utilizing the medical record, Reviews and coordinates data in the entire medical record, codes principal, secondary diagnoses and procedures documented within the record to justify treatment rendered to collect accurate patient data and to receive optimal reimbursement.
- After preliminary coding but before submission, IP Coders utilize “Coder View” in CDIS software as trained, to make sure all options for principal and secondary diagnoses that should be considered, are coded.
- Abstracts coded data as required by SPARCS and by Health Information policy.
- Queries and / or confers with the attending physician and / or physician liaison when there is uncertainty in the documentation of the medical record.
- Inputs reason code, query (if appropriate), initials, final DRG and comments into CDIS software.
- Evaluates facility records for completeness according to standards established by Health Information Committee, JCAHO and other licensing agencies, as needed.
- Investigates and reviews appropriateness of coding upon request of in-house and or third-party review. Promptly responds to third party payor when appropriate.
- Maintains confidentiality of work-related medical record documentation and conversation in accordance with hospital / department policy and procedure.
- Maintains DOH Cancer and Congenital malformation registries. Retrieves data & codes DOH required reporting for congenital malfunctions and cancer.
- Performs other duties as requested and maintains a clean, safe work area.
Skills & Experience
Qualifications That Will Help You Thrive
Education
- B.S. in Health Information Management or AAS in Health Information Technology or Certification as a RHIA or RHIT. Certified Coding Specialist (CCS) is preferred. Would also consider a RHIA or RHIT eligible candidate if enrolled in an HIT or HIM program and candidate has completed coding, medical terminology, anatomy & physiology.
- Experienced coder with the Certified Coder Specialist (CCS) credentials would also be considered.
- Successful certification within one (1) year of date of hire or graduation, whichever is later (AHIMA).
- Candidates are required to take and successfully pass a company coding test.
- Maintains credentials by meeting AHIMA continuing education requirements.
- CDI Team training and participation in CDI Team meetings and activities.
Experience
- Six (6) months coding experience in an acute care facility is preferred
Knowledge, Sill and Ability
- Thorough knowledge of ICD-10-CM and CPT coding systems, medical terminology, anatomy and physiology
- Partner with and across Teams. Demonstrated ability to work closely with CH associates, medical staff, department managers, CDI Specialists and Finance.
- Superior written and interpersonal communication skills
- Drive performance. Ambitions, takes prompt action for priorities, addresses challenges & opportunities. Possess skills related to organization and prioritization. Is action oriented.
- Demonstrated proficiency with computers, software, hardware and technological advances.
- Problem Solving: Includes appropriate staff in problem solving, defining, and prioritizing.
- Excellent analytical skills.
- Mobilizer. Sets goals/expectations. Ability to meet deadlines consistently and generate reports.
- Change Driver. Welcomes improvement, open to new ideas of others, helps others embrace change and accepts suggestions for change from other team members. Embrace creative thinking, generates creative solutions.
- Ability to read medical record documents and utilize computer to enter diagnoses, procedures and patient data throughout the day.
- Ability and knowledge to review CDI worksheet and utilize (if appropriate) to code chart and/or query physician.
WORKING CONDITIONS:
- Primary work is sedentary with majority of time spent sitting.
- Frequent repetitive action of using computer keyboard.
- Individual works in an office setting utilizing medical records, computers and various software and reference books to assign codes for accurate reimbursement.
- Travel is required for float positions.
- NYS Driver’s license and transportation are required. Travel between facilities to assist with coding at other sites.