Medical Coder - Inpatient (DRG Reviewer)
Role Overview
The Medical Coder is responsible for reviewing inpatient medical record documentation to ensure the accuracy, completeness, and clinical validity of reported diagnoses and procedures.
This role evaluates coding accuracy, DRG assignment, reimbursement impact, and regulatory compliance in accordance with official coding guidelines, CMS regulations, payer policies, and organizational standards.
The reviewer retrieves, analyzes, and documents medical record information to support appropriate reimbursement, documentation integrity, and audit outcomes for hospital inpatient services.
Key Skills for This Role
Full Job Posting
Experience in Lieu of Degree
For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree may be required, the Company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree. In instances where the candidate has an Associate's degree, the Company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degree.
Thank You!
We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!
~ The Acentra Health Talent Acquisition Team
Visit us at https://careers.acentra.com/jobs
EEO AA M/F/Vet/Disability
Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.
Compensation
The pay range for this position is listed below.
“Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.”
Requirements
- High school diploma or GED.
- Minimum of 2 years of progressive hands-on experience in acute care inpatient coding, clinical documentation improvement (CDI), medical scribing, DRG auditing/review, or related healthcare documentation experience
- Active possession of one or more of the following certification(s) CCS or CCA or CDIP (AHIMA) | Please Note: CCS-P is not accepted for this position CPMA, CRC, CIC or CDEI (AAPC) CCDS (ACDIS)
- Demonstrated proficiency in ICD-10-CM and ICD-10-PCS
- Strong working knowledge of: Inpatient coding guidelines, DRG reimbursement methodology and CMS and payer regulations
- Proven ability to independently review inpatient medical records and validate: Diagnoses, Procedures, as well as MS-DRG assignment
- Experience reviewing inpatient medical records
- Familiarity with electronic health records, encoder/grouper tools, and coding software
- Strong analytical skills with exceptional attention to detail
- Effective written and verbal communication skills
- Proficiency in Microsoft Office (Word, Excel, Outlook)
- Ability to meet deadlines with accuracy in a fast-paced, production-focused environment
- Commitment to ongoing learning and professional development.
- Advanced experience and knowledge of clinical validation audits, admission status, medical necessity reviews and payer-specific audit processes
About Acentra Health
Private healthcare technology and clinical services company serving government and commercial healthcare clients and priority populations.
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