• Accurately codes inpatient conditions and procedures as per ICD guidelines. • Understands and applies medical terminology, anatomy and physiology, and disease processes. • Reviews professional and hospital inpatient medical record documentation and identifies and assigns appropriate codes. • Collaborates with Clinical Documentation Improvement Specialists to address documentation concerns and DRG assignments. • Assists in the preparation of responses to DRG validation requests and other coding-related inquiries.

• Review and abstract professional medical records, including provider notes, encounters, and supporting documentation. • Assign ICD-10-CM, CPT, HCPCS, and applicable modifiers accurately, following national and payer-specific coding guidelines. • Validate that all codes are supported by provider documentation; query providers for clarification when necessary. • Maintain coding quality metrics (accuracy, productivity, and compliance) as defined by leadership. • Participate in internal and external coding audits; provide feedback to improve documentation and coding processes. • Stay current with updates to CPT, ICD-10, HCPCS, and CMS risk adjustment guidelines. • Maintain confidentiality and adhere to all HIPAA and compliance standards.

• Lead, coach, and support a remote team of medical coders (and coding auditors), setting clear expectations, running regular 1:1s, and fostering a culture of trust and respect—not micromanagement. • Manage day-to-day coding operations, including work queue oversight, workload balancing, and turnaround time performance, while tracking and reporting on accuracy, productivity, and compliance metrics. • Serve as the primary escalation point for coding questions and complex scenarios, partnering with Revenue Cycle, Compliance, and audit resources to understand issues, audit findings, and denial trends. • Ensure coding is accurate, complete, and compliant with ICD-10-CM, CPT, HCPCS, CMS, and payer-specific guidelines through strong training, clear policies, and daily oversight. • Develop, maintain, and socialize coding policies, playbooks, and job aids that enable consistent, high-quality coding decisions. • Design and own a comprehensive coding education program, including new-hire onboarding, ramp plans, role-specific competency checklists, and structured 30/60/90-day milestones. • Develop and deliver ongoing training (huddles, workshops, office hours, and written guidance) on guideline updates, payer changes, common error patterns, and Sprinter-specific workflows (e.g., Care+ visits, diagnostics). • Create and maintain a centralized, easy-to-use library of training materials—guides, FAQs, tip sheets, and short videos—that coders can rely on in real time. • Provide individual coaching based on performance data, audit/denial trends, and observed needs, while supporting coders in maintaining and advancing their professional certifications and continuing education. • Foster a strong learning culture by normalizing questions, encouraging peer-to-peer knowledge sharing, recognizing improvements, and reinforcing confidentiality and HIPAA/compliance standards.

• Provides accurate and timely assignment of appropriate ICD-10 diagnostic and PCS procedural codes on medical records • Reviews the medical record, identifies diagnoses and procedures, and assigns ICD-10-CM diagnosis and ICD-10 PCS procedure codes • Abstracts diagnostic and PCS procedural codes and other pertinent data into the network system • Reviews/monitors assigned work queues and missing documentation encounters