Inpatient Coder/Abstractor Sr - Health Information Management

Assign diagnosis and procedure codes to inpatient discharges at McLeod Health facilities, determining principal diagnoses, co-morbidities, complications, and secondary procedures to ensure accurate DRG assignments. Apply coding guidelines for complex encounters involving cardiac, neurosurgery, orthopedic, pediatric, trauma, and vascular cases, while querying physicians for unclear documentation. Maintain 95% accuracy and department productivity standards by attending coding classes, seminars, and reading industry updates. Collaborate with Clinical Documentation Specialists to optimize coding outcomes. Requires AHIMA Registered Health Information Technician certification and 1–2 years of acute care inpatient coding experience.