Role Description To be fully engaged in providing timely, complete, and accurate code assignment and data collection for quality clinical analysis and revenue enhancement. - Uphold regulatory compliance by assigning and sequencing accurate ICD 10 codes to inpatient medical records as per coding guidelines. - Validate the accuracy of codes assigned by the computer assisted coding software. - Literacy and proficiency in computer technology related to health information and coding applications are essential. - Interpret clinical documentation to ensure codes reported are clearly and consistently supported by the health record. - Examine and ensure compatibility of MS-DRG, APR-DRG, SOI, and ROM of each inpatient encounter. - Request clarification from the provider when there is conflicting, incomplete, or incorrect information in the health record. - Abstract relevant information accurately and completely into the computer assisted coding application. - Confirm the admission status ordered by the physician and the registration status of the encounter are compatible. - Communicate professionally identified discrepancies, documentation issues, denial management issues, and coding concerns. - Stay up to date with regulatory changes by completing all mandatory educational accountabilities in a timely manner. - Maintain coding quality and productivity as per departmental standards. - Attend department meetings and other inpatient coding sessions as scheduled. - Accurate and ethical time and attendance recording. - Provide departmental coding coverage by cooperating with occasional schedule revisions and overtime requests. - Maintain and observe patient confidentiality as outlined in the National Patient Safety Goals and HIPAA guidelines. Qualifications - High School Diploma - 4 Years Inpatient Coding Experience - AHIMA or AAPC Inpatient Coding Certification - 8 Years Inpatient Coding Experience in lieu of Certification - Competent in understanding medical terminology. - Advanced understanding of anatomy and physiology. - Utilize critical thinking skills and formulate logical decisions. - Strong written and oral communication skills. - Excellent computer and telephone skills. - Detail and accuracy oriented. - Ability to coordinate and use logical reasoning. - Ability to work independently maintaining focus on scope of work assigned. Requirements - 6 Years Inpatient Coding Experience (Preferred) Physical Requirements - Majority of time involves sitting or standing; occasional walking, bending, and stooping. - Long periods of computer time or at workstation. - Light work that may include lifting or moving objects up to 20 pounds. - May be exposed to inside environments with varied temperatures, air quality, lighting, and/or low to moderate noise. - Communicating with others to exchange information. - Visual acuity and hand-eye coordination to perform tasks. - Workspace may vary from open to confined, onsite, or remote. - May require travel to various facilities within and beyond county perimeter; may require use of personal vehicle. Benefits - Full-Time Schedule - Variable Shift Times - Paygrade: 34

Role Description The Inpatient Coding Quality & Education Specialist serves as a subject matter expert in ICD-10-CM/PCS coding, coding quality, clinical data integrity, and coding-related performance improvement initiatives. This role supports organizational goals related to coding accuracy, quality outcomes, reimbursement integrity, compliance, and operational efficiency through coder education, auditing, onboarding, data analysis, and collaboration with multidisciplinary stakeholders. The specialist partners closely with Coding Operations, Coding Quality, Clinical Documentation Integrity (CDI), Revenue Integrity, Quality, and other operational teams to identify trends, develop educational strategies, improve coding workflows, and support quality reporting methodologies including Vizient, Elixhauser, mortality, severity of illness (SOI), risk of mortality (ROM), expected length of stay, and other coding-sensitive measures. Key Responsibilities - Coding Quality & Audit Activities - Perform pre-bill and post-bill coding audits utilizing internal and third-party audit platforms and vendor software. - Review coded accounts for coding accuracy, reimbursement integrity, quality reporting implications, and compliance with coding guidelines. - Analyze audit findings to identify trends, educational opportunities, and systemic process improvement initiatives. - Collaborate with Coding Operations, Quality, CDI, Revenue Integrity, and Compliance teams to address identified findings and implement corrective actions. - Track, trend, and report audit outcomes to leadership and operational stakeholders. - Support external audit preparedness and validation activities, including payer, regulatory, and vendor reviews. - Education & Training - Lead onboarding and competency development for newly hired inpatient coders or Data Quality Specialist. - Develop and deliver coding education related to ICD-10-CM, ICD-10-PCS, Official Coding Guidelines, Coding Clinic advice, regulatory updates, and organizational policies. - Create educational materials, tip sheets, job aids, presentations, and learning resources. - Facilitate individual and group education sessions based on audit findings, quality trends, and operational needs. - Support ongoing professional development and coding competency initiatives. - Quality & Clinical Data Integrity Support - Collaborate with quality, CDI, and operational teams to evaluate coding impacts on quality reporting and benchmarking methodologies. - Analyze coding opportunities affecting Vizient, Elixhauser, mortality, severity of illness, risk of mortality, expected length of stay, patient safety indicators, hospital-acquired conditions, and other coding-sensitive measures. - Assist in identifying opportunities to improve data integrity through accurate code assignment and documentation interpretation. - Support coding-related initiatives that impact organizational quality performance and external reporting. - Operational Improvement & Workflow Optimization - Partner with Coding Operations and leadership to identify workflow efficiencies and process improvement opportunities. - Provide recommendations regarding coding work queues, system edits, automation opportunities, workflow design, and operational controls. - Assist in developing and monitoring coding quality metrics, dashboards, and performance indicators. - Participate in enterprise projects related to coding quality, compliance, education, and operational effectiveness. - Evaluate trends and provide recommendations to improve productivity, accuracy, and consistency. - Leadership Support & Consultation - Serve as a coding subject matter expert for inpatient coding-related questions and initiatives. - Provide consultative support to leadership regarding coding trends, audit findings, education needs, and performance improvement opportunities. - Assist leaders with action planning, performance monitoring, and implementation of corrective actions when appropriate. - Support organizational readiness for coding guideline updates, regulatory changes, and system implementations. - Compliance & Regulatory Support - Promote adherence to Official Coding Guidelines, Coding Clinic guidance, payer requirements, and organizational policies. - Assist with coding compliance reviews and remediation activities. - Maintain current knowledge of regulatory changes, coding updates, and industry best practices. - Support audit preparedness and coding compliance initiatives across the organization. Qualifications - Associate's degree in Health Information Management or related field (Bachelor's preferred) - RHIA, RHIT, CCS, or equivalent credential required - 5 years of progressively responsible inpatient coding experience - 2 years of coding quality, auditing, education, mentoring, or leadership experience - Advanced knowledge of ICD-10-CM/PCS, MS-DRG assignment, Official Coding Guidelines, Coding Clinic, and reimbursement methodologies Preferred - 7–10 years of inpatient coding experience - Experience onboarding and mentoring coders - Experience conducting coding audits and developing education plans - Experience supporting quality reporting methodologies (Vizient, Elixhauser, PSI/HAC, SOI/ROM, mortality, expected LOS) - Experience with Epic, Solventum/3M, encoder and auditing platforms - Lean, process improvement, or project management experience Work Conditions - Extensive use of computer equipment and software - Frequent interaction with staff across all levels of the organization - Low physical effort - Occasional bending, stooping, kneeling, crouching and/or reaching. - Remote workers considered but may require limited travel to corporate office. Additional Job Details - Remote Type: Remote - Work Location: 399 Revolution Drive - Scheduled Weekly Hours: 40 - Employee Type: Regular - Work Shift: Day (United States of America) - Pay Range: $63,648.00 - $92,570.40/Annual - Grade: 6

• Applies CPT-4 and HCPCS codes to medical records • Balances need for coding accuracy against timely account completion • Coding of surgical procedures performed by cardiologists and interventional radiologists • Verification of supplies used during procedures • Use of encoders and other references • Maintains appropriate non-leading queries to physicians • Ability to abstract services from physician documentation and procedure logs • Reconciliation of monthly surgical logs • Prepares Excel analysis, including V-Lookups and pivot tables • Gathers and compiles data in a systematic fashion • Evaluate and implement charge requests with appropriate codes • Conducts Charge Capture Audits

Role Description Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. - Codes medical information into the Prisma billing/abstracting systems. - Performs inpatient coding including major traumas and NICU records. - Assigns ICD and ICD-PCS codes as well as DRG assignments. - Abstracts and verifies codes for MCC/CCs, HAC/PSI, and Quality Indicators. - Ensures appropriate assignment of POA indicators. - Operates under the general supervision of HIM Coding leadership. - Verifies assignment of DRGs, MCC/CCs, HACs, and PSIs. - Selects optimal principal diagnoses with appropriate POA indicator assignment. - Reviews work queues to identify charts that need coding. - Follows up on on-hold accounts daily for final coding. - Identifies and requests physician queries when documentation is unclear. - Ensures all open queries initiated by Clinical Documentation Specialists are addressed. - Adheres to department standards for productivity and accuracy. - Consults and collaborates with clinical documentation specialists on coding practices. - Performs other duties as assigned. Qualifications - Education: Certification Program or Associate degree or Coding Certificate through AHIMA or other approved coding certification program. - Experience: Three (3) years coding experience in an acute care or ambulatory setting. Inpatient coding experience. EPIC health information system experience preferred. - In lieu of education and experience requirements, successful completion of the IP Coder Associate program or coder associate may be considered. Requirements - Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC) or other approved coding credential. Knowledge, Skills and Abilities - Participates in on-site, remote, and/or external training workshops. - Demonstrates proficiency in utilizing official coding books and electronic medical records. - Knowledge of electronic medical records and 3M or Encoder System. - Knowledge of medical terminology, basic anatomy and physiology, pathophysiology, and pharmacology. - Knowledge of MS DRG prospective payment system and severity systems. - Ability to concentrate for extended periods of time. - Ability to work and make decisions independently. Work Shift Day (United States of America) Location 5 Medical Park Rd Richland Facility 1500 Midlands Corporate Department 70017512 HIM-Coding Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.