Inpatient Coding Specialist

Must be located in Washington state. Inpatient coding experience is required.

We are looking for an Inpatient Coding Specialist to support accurate inpatient coding and clinical data abstraction for a Contract position based in Sacramento, California. In this role, you will evaluate inpatient medical records, assign diagnosis and procedure codes, and help ensure compliant reimbursement and reporting. The position requires close attention to documentation quality, regulatory standards, and timely account completion across the revenue cycle.

Responsibilities:

• Examine inpatient charts and translate clinical documentation into accurate diagnosis and procedure codes using applicable classification systems and grouping methodologies.

• Determine the appropriate reimbursement grouping for each account while confirming discharge status, admission source details, and present-on-admission indicators are recorded correctly.

• Abstract required clinical and demographic data elements according to facility guidelines and regulatory reporting expectations.

• Review physician and care team documentation for completeness, identify missing or conflicting information, and pursue clarification when needed to support code assignment.

• Manage discharged-not-billed work queues to help move accounts through the revenue cycle within established turnaround expectations.

• Partner with clinical documentation improvement staff and providers to strengthen record completeness and support accurate severity and reimbursement outcomes.

• Apply coding, billing, and data collection rules consistently to maintain compliance with state, federal, and payer requirements.

• Use coding and validation tools such as Epic, 3M applications, encoders, audit platforms, and standard office software to verify information and complete assigned work.

• Maintain productivity and quality benchmarks while working independently, organizing priorities effectively, and resolving issues that affect coding accuracy or timeliness.

Qualifications:

• Hands-on experience coding inpatient medical records in a healthcare, hospital, or revenue cycle environment.

• Working knowledge of inpatient diagnosis and procedure coding standards, reimbursement groupers, and official coding guidance.

• Ability to interpret complex clinical documentation and abstract required information with a high level of accuracy.

• Familiarity with regulatory and payer requirements related to coding, billing, compliance, and data reporting.

• Proficiency with electronic health records and coding support tools, including systems such as Epic and 3M software.

• Strong communication skills with the ability to collaborate with providers, documentation specialists, and revenue cycle teams.

• Effective time management and organizational skills to balance productivity goals, queue management, and quality expectations.

• Detail-oriented approach with the ability to perform audits, verification activities, and independent problem-solving.

Compensation

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