Essentia Health

Senior Inpatient Coder

Essentia Health  •  United States (Hybrid)  •  25 days ago
Apply
AI can make mistakes so check important info. Chat history is never stored.

Job Description

Building Location:

Business Service Center

Department:

1006240 HOSPITAL CODING - EH SSThis position is responsible for reviewing clinical documentation and assigning ICD-10-CM diagnosis, PCS procedure codes, and the DRG to ensure proper reimbursement for complex inpatient accounts. Requires extensive knowledge and understanding of ICD-10-CM/PCS coding guidelines, MS-DRG and APR-DRG reimbursement systems, medical terminology, and disease processes. Works closely with Clinical Documentation Integrity and clinicians to ensure complete and accurate documentation, coding, and final DRG assignment. Adheres to the quality and productivity standards set by the department.

Education Qualifications:

Key Responsibilities:

  • Evaluates health record documentation and accurate reimbursement by ensuring that ICD-10-CM diagnostic and PCS procedural codes accurately reflect and support the inpatient hospital admission

  • Identifies documentation clarification opportunities to ensure that documentation supports the coding and DRG assignment. Initiates coding queries and provides feedback to clinicians

  • Reviews Local Coverage Determination (LCD)/National Coverage Determination (NCD) policies for ICD-10-CM diagnoses that support medical necessity for services provided

  • Works with the coding denials team for education and assists with DRG denial prevention solutions

  • Ensures inpatient accounts are coded accurately and in a timely manner

  • Consistently maintains coding quality (95% accuracy) and productivity expectations

  • Assists with the training of inpatient coders

  • Performs related duties as required

Educational Requirements:

  • Successful completion of a coding program, which included coursework in ICD-10-CM/PCS, medical terminology, anatomy and physiology and disease processes

Required Qualifications:

  • Two (2) years of hospital inpatient/DRG coding experience

  • Passing score on the Essentia Health senior inpatient coding skills assessment

Preferred Qualifications:

  • Epic experience

  • 3M Encoder experience

  • Computer Assisted Coding experience

Licensure/Certification Qualifications:

Certification/Licensure Requirements:

  • Current certification with American Health Information Management Association (AHIMA) or AAPC and credentialed as Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), and/or Certified Inpatient Coder (CIC)

FTE:

1

Possible Remote/Hybrid Option:

Remote

Shift Rotation:

Day Rotation (United States of America)

Shift Start Time:

Days

Shift End Time:

Days

Weekends:

NO

Holidays:

No

Call Obligation:

No

Union:

DC USWA Main & Neighborhoods (DCUMN)

Union Posting Deadline:

05/8/2026

Compensation Range:

$24.79 - $36.66Employee Benefits at Essentia Health:
At Essentia Health, we’re committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at (218) 576-0000.

Essentia Health

About Essentia Health

Essentia Health is an integrated health system serving patients in Minnesota, Wisconsin, and North Dakota.

Headquartered in Duluth, Minnesota, Essentia Health combines the strengths and talents of more than 15,000 employees, including more than 2,200 physicians and advanced practitioners, who serve our patients and communities through the mission of being called to make a healthy difference in people’s lives.

Essentia Health, which includes many Catholic facilities, is guided by the values of Quality, Hospitality, Respect, Joy, Justice, Stewardship, and Teamwork. The organization lives out its mission by having a patient-centered focus at 14 hospitals, 78 clinics, six long-term care facilities, six assisted living and independent living facilities, six ambulance services, 24 retail pharmacies, and one research institute.

Industry
Healthcare & Social Services
Company Size
5,001-10,000 employees
Headquarters
Duluth, MN
Year Founded
Unknown
Social Media