Inpatient Coder/Abstractor Sr – Health Information Management

McLeod Health

Senior Inpatient Coder responsible for assigning complex diagnosis and procedure codes for McLeod Health. Maintaining high accuracy and collaborating with clinical documentation specialists.

Posted 7/23/2026full-timeRemote • South Carolina • 🇺🇸 United StatesSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in inpatient coding, including accurate assignment of diagnosis and procedure codes for complex medical and surgical encounters. Proficient in applying coding guidelines and collaborating with clinical documentation specialists to optimize DRG assignments.

Highest-signal resume keywords

Inpatient Coding ExperienceAHIMA Registered Health Information TechnicianDRG Assignment ExpertiseCoding Guidelines KnowledgeClinical Documentation Collaboration

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Diagnosis CodingProcedure CodingMedical Record ReviewCoding AccuracyComplex Medical Diagnosis CodingSurgical Procedure CodingCo-Morbidity AssignmentSecondary Diagnosis AssignmentPresent On Admission IndicatorHospital Acquired Conditions

Soft Skills

Attention to DetailEffective CommunicationProblem-SolvingCollaboration

Certifications & Qualifications

AHIMA Registered Health Information Technician

Industry Keywords

Inpatient CodingAcute Care HospitalClinical DocumentationCoding StandardsMedical Coding Updates

About the role

Key responsibilities & impact

The Senior Inpatient Coder is responsible for accurately assigning diagnosis and procedure codes to inpatient discharges at the larger McLeod Health facilities representing more complex medical/surgical encounters.
Keeps abreast of all new coding developments by attending any coding classes, reading articles on coding updates, and attending seminars when available.
Possess inpatient coding knowledge and experience necessary to accurately assign codes to determine correct principal diagnosis, identify and assign co-morbidities and complications, secondary diagnoses, present on admission indicator, discharge disposition, Hospital Acquired conditions, principal procedure, and secondary procedures on all discharged inpatient records to arrive at the most appropriate DRG assignment.
Understands coding guidelines to accurately apply coding principles to encounters with longer lengths of stay, complex medical diagnoses and extensive surgical procedures. This includes cardiac, neurosurgery, orthopedic, pediatric, trauma, and vascular.
Queries physicians appropriately when documentation is not clear in the medical record.
Works closely with the Clinical Documentation Specialists to assure the most optimal DRG is assigned.
Maintains department specific productivity standards with a 95% accuracy rate.
Performs other duties as assigned.

Requirements

What you’ll need

1 to 2 years of inpatient coding in an acute care hospital setting.
Licenses and Certifications: AHIMA Registered Health Information Technician
Memberships: Occupation Risk Assessment

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account McLeod Health Website LinkedIn All Job Openings 10,000+ employees Founded over a century ago ⚕️ Healthcare Insurance Healthcare Insurance McLeod Health is a healthcare organization providing a wide range of medical services in multiple locations, including Florence, Cheraw, Clarendon, Dillon, Loris, Seacoast, and Carolina Forest. It offers specialized care across various departments such as behavioral health, cancer treatment, cardiology, orthopedics, neurology, emergency and trauma services, as well as children's and women's healthcare. McLeod Health is committed to community involvement and offers wellness programs, occupational health, and patient support services. The organization is recognized for its dedication to patient safety and advanced healthcare services, including telehealth options, rehabilitation, and a variety of outpatient services. It also supports medical education through physician employment and residency programs. Inpatient Coder/Abstractor Sr – Health Information Management 🔥 1 hour ago 🌴 South Carolina – Remote ⏰ Full Time 🟠 Senior 🏥 Medical Billing and Coding Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
The Senior Inpatient Coder is responsible for accurately assigning diagnosis and procedure codes to inpatient discharges at the larger McLeod Health facilities representing more complex medical/surgical encounters.
Keeps abreast of all new coding developments by attending any coding classes, reading articles on coding updates, and attending seminars when available.
Possess inpatient coding knowledge and experience necessary to accurately assign codes to determine correct principal diagnosis, identify and assign co-morbidities and complications, secondary diagnoses, present on admission indicator, discharge disposition, Hospital Acquired conditions, principal procedure, and secondary procedures on all discharged inpatient records to arrive at the most appropriate DRG assignment.
Understands coding guidelines to accurately apply coding principles to encounters with longer lengths of stay, complex medical diagnoses and extensive surgical procedures. This includes cardiac, neurosurgery, orthopedic, pediatric, trauma, and vascular.
Queries physicians appropriately when documentation is not clear in the medical record.
Works closely with the Clinical Documentation Specialists to assure the most optimal DRG is assigned.
Maintains department specific productivity standards with a 95% accuracy rate.
Performs other duties as assigned. 🎯 Requirements
1 to 2 years of inpatient coding in an acute care hospital setting.
Licenses and Certifications: AHIMA Registered Health Information Technician
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