Stanford Health Care is hiring an Inpatient Coding Specialist II (Remote)

Stanford Health Care is hiring an Inpatient Coding Specialist II to join our team. This remote role involves reviewing medical records to assign accurate ICD-10-CM/PCS codes and MS-DRG/APR-DRG groups. You will ensure compliance with federal and state regulations while coding complex inpatient cases.

What You'll Do

• Review medical record documentation and assign appropriate ICD-10 diagnosis and procedure codes to determine the correct MS-DRG or APR-DRG.
• Verify patient discharge disposition, assign correct sources of admission for state reporting, and ensure appropriate present on admission indicators.
• Abstract required data per facility specifications.
• Monitor Discharged Not Billed accounts to ensure timely, compliant processing through the revenue cycle.
• Collaborate with Clinical Documentation Specialists and medical staff to ensure documentation completeness.
• Maintain established quality and productivity standards.
• Work effectively without direct supervision, demonstrating a high degree of independence.
• Stay current with CMS requirements, CCI edits, HACs, PSIs, NCDs, LCDs, and appropriate modifiers.
• Maintain competency using tools like the 3M encoder, 3M Audit Expert, and 3M CDIS.
• Follow all established Stanford Health Care policies and procedures.
• Attend required meetings and complete annual learning programs.

What We're Looking For

• High School Diploma or GED equivalent.
• Five (5) years of progressively responsible and directly related work experience.
• Successful completion of the Coder Proficiency Exam prior to hire.
• RHIA, RHIT, or CCS certification.
• Ability to adapt to change, plan, organize, prioritize, and meet deadlines independently.
• Ability to comply with AHIMA’s Code of Ethics and Standards and apply UHDDS standards.
• Ability to establish and maintain effective working relationships and build consensus.
• Knowledge of MS-DRG and APR-DRG grouping schemes, CCI edits, and CMS compliance issues.
• Knowledge of health information systems, medical terminology, anatomy, physiology, and disease study.
• Ability to utilize ICD-10-CM/PCS and CPT-4 conventions to code medical records and assign accurate DRGs.
• Knowledge of computer systems and software used in functional area.

Technical Stack

• Epic
• 3M Coding and Reimbursement System (Encoder)
• 3M CDIS
• 3M Audit Expert
• MS Office

Team & Environment

You will collaborate with Clinical Documentation Specialists and members of the medical staff to ensure the completeness of documentation.

Benefits & Compensation

• Compensation generally starts at $65.12 - $73.34 per hour.

Work Mode

This is a fully remote position.

Stanford Health Care strongly values diversity and is committed to equal opportunity and non-discrimination in all policies and practices, including employment. SHC does not discriminate on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability.