Key Facts

Remote From:

Full time

Senior (5-10 years)

English

Hard Skills

ICD Coding (ICD-9/ICD-10) Diagnosis-Related Group Clinical Documentation Inpatient Coding Anatomy Medical Necessity Medical Abbreviations Performance Management Biology Query Planning +2 more

Other Skills

•
Problem Solving
•
Detail Oriented
•
Communication
•
Analytical Skills

Roles & Responsibilities

Two years of hospital inpatient/DRG coding experience
Successful completion of a coding program with ICD-10-CM/PCS, medical terminology, and anatomy & physiology
Current AHIMA or AAPC certification (RHIA/RHIT/CPC/CCS/CIC)
Strong knowledge of ICD-10-CM/PCS guidelines and MS-DRG/APR-DRG reimbursement systems

Requirements:

Evaluate health record documentation to ensure ICD-10-CM/PCS codes reflect inpatient admission and support proper reimbursement
Identify documentation gaps, initiate coding queries, and provide feedback to clinicians
Review LCD/NCD policies to ensure medical necessity and appropriate coding
Maintain inpatient coding accuracy and productivity, assist with DRG denial prevention and training of staff

Job description

Building Location:

Business Service Center

Department:

1006240 HOSPITAL CODING - EH SS

Job Description:

This 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:

Possible Remote/Hybrid Option:

Remote

Shift Rotation:

Day Rotation (United States of America)

Shift Start Time:

Days

Shift End Time:

Days

Weekends:

Holidays:

Call Obligation:

Union:

DC USWA Main & Neighborhoods (DCUMN)

Union Posting Deadline:

05/8/2026

Compensation Range:

$24.79 - $36.66

Employee 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.

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