Senior Inpatient Coder (REMOTE) - Westchester Medical Center : Job Details

Senior Inpatient Coder (REMOTE)

Westchester Medical Center

Job Location : Valhalla,NY, USA

Posted on : 2025-09-01T16:59:43Z

Job Description :

Join to apply for the Senior Inpatient Coder role at Westchester Medical Center Health Network.

Job Summary: The Senior Inpatient Coder is responsible for addressing appeals to insurance companies and coding highly complex medical records using the current International Classification of Diseases (ICD10 CM/PCS codes). The role involves entering coded information into an automated grouper system. Technical guidance and acting in a lead role are expected.

Responsibilities:

  • Address appeals to insurance denials to facilitate expedient resolution and reimbursement.
  • Interpret and apply American Hospital Association Official Coding guidelines to support diagnoses and procedures.
  • Identify and report patterns of coding errors or trends to the coding leadership team.
  • Participate in mandated medical record review processes.
  • Assign accurate codes to diagnoses, procedures, and operations based on documentation.
  • Query physicians for documentation clarification.
  • Ensure all factors necessary for accurate DRG assignment are present and diagnoses are ranked properly.
  • Compile and update appeal logs related to denials and responses.
  • Provide information and respond to inquiries regarding medical documentation and DRGs to hospital staff.
  • Abstract information from medical records for reports and statistics.
  • Potentially train lower-level coders and provide guidance.
  • Resolve bill holds promptly to maintain DNFB and coding queues.
  • Act as a liaison between Patient Accounting and Coding departments.

    • Qualifications:

    • Minimum of three years inpatient coding experience in an acute care setting.
    • Proficiency in ICD10 CM and ICD10 PCS, demonstrated through assessment.
    • High School diploma or equivalent; substitution with credits toward an associate or bachelor's degree is possible.
    • Current certification as a CCS is required; RHIA or RHIT preferred.
    • Knowledge of AHA coding guidelines, ICD10 codes, DRG systems, medical terminology, anatomy, and physiology.
    • Effective communication skills and proficiency with computer applications.

    Additional Details:

    • Seniority level: Mid-Senior level
    • Employment type: Full-time
    • Job function: Health Care Provider
    • Industries: Hospitals and Health Care

    This job posting is active and accepting applications.

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