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Inpatient Surgical Coder – PRN
Healthcare Outcomes Performance Co. (HOPCo)Inpatient Surgical Coder specializing in orthopedic and spine surgery coding. Independent coding and support for high-acuity inpatient surgical cases with real-time training for staff.
About the role
Key responsibilities & impact- Reviews and abstracts clinical documentation from complex inpatient orthopedic and spine surgery records to assign accurate ICD-10-CM, ICD-10-PCS, DRG, POA, and discharge disposition codes.
- Independently codes high-acuity inpatient orthopedic spine surgery cases including cervical, thoracic, and lumbar procedures, revisions, fusions, instrumentation, and neurological-related musculoskeletal procedures.
- Provides real-time feedback and training for coding staff to improve coding quality and productivity.
- Applies and validates accurate MS-DRG assignments while ensuring compliance with CMS, UHDDS, Official Coding Guidelines, and payer-specific requirements.
- Identifies coding trends, documentation gaps, and reimbursement risks and communicates findings to leadership.
- Maintains productivity and quality standards while managing high-volume and high-complexity inpatient workloads.
- Serves as a coding resource and mentor to less experienced coders and assists with onboarding and education initiatives.
- Participates in policy development, coding guideline interpretation, and implementation of regulatory updates.
- Acts as a liaison between coding staff, leadership, and external stakeholders.
- Supports coding audits, denials management, appeals, and quality improvement activities as assigned.
Requirements
What you’ll need- High school diploma or GED required
- Associate or Bachelor’s degree in Health Information Management or related field preferred
- Must hold at least one of the following: RHIA, RHIT, CCS, or CIC. CCS strongly preferred
- Minimum of 4-5 years of IP facility/hospital coding experience required
- Minimum of 4-5 years of recent/current experience coding complex inpatient surgical cases required
- Extensive experience with inpatient coding (ICD-10-PCS and DRG assignment) required
- Demonstrated expertise in orthopedic surgical coding across multiple subspecialties
- Prior experience in auditing, mentoring, or leading coding teams strongly preferred
- Experience with denial management, appeals, and payer audits preferred
- Advanced to expert level knowledge of ICD-10-CM, ICD-10-PCS, DRG, CPT and HCPCS coding systems
- Advanced understanding of DRG and APC reimbursement methodologies, ortho anatomy and spine surgical techniques.
- Proven ability to interpret and apply complex coding guidelines and regulatory updates
- Strong leadership skills with the ability to mentor and develop coding staff.
- Prominent level of accuracy, critical thinking, and attention to detail.
- Proficiency with coding software, EMR systems, and reporting tools.
Benefits
Comp & perks- Health insurance
- Paid time off
- Professional development opportunities
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Inpatient CodingCPT CodingHCPCS CodingCoding Guidelines InterpretationRegulatory Compliance
Soft Skills
Critical ThinkingAttention to DetailLeadership Skills
Certifications
RHIARHITCCSCIC