Inpatient Coder

Job Description Summary

South Shore Hospital, Southeastern Massachusetts's leading provider of emergency, acute, and outpatient care, is seeking a Professional Medical Coder to join our Coding & Revenue Integrity team. This position can be based from our main Weymouth campus or from a remote location, but to be hired, the candidate must live in Massachusetts.

Job Description

Under the direction of the Billing & Coding Manager, the Inpatient Coder is an advanced coding position responsible for the accurate and timely assignment of codes for all outpatient and inpatient diagnoses and procedures. As a vital member of our respected professional team, the Inpatient Coder will work collaboratively with other areas of the Health Information Management department and the Clinical Documentation Integrity unit to advance the profession and reinforce the valuable contributions coders make to the care delivery system.


  • Using established department policies and procedures in conjunction with the current versions of ICD-CM Classification for Hospitals, determines the proper diagnosis, assigns co-morbidities and complications, secondary diagnoses, present on admission indicators, HAC (Hospital Acquired Conditions), principal procedure codes, and secondary procedure codes
  • Queries providers when documentation requires clarification
  • Proactively works with medical leadership to address concerning documentation trends

Skills & Abilities

  • Excellent written, verbal, and interpersonal communication skills
  • Ability to think critically
  • Excellent reading comprehension
  • Developed analytical skills to gather and interpret data
  • Proficient data entry skills, displaying both speed and accuracy
  • MS Office suite


  • CCS certification required
  • 6+ months of relevant inpatient facility coding experience
  • 3m 360 and Epic experience preferred
  • Familiarity with anatomical, physiological, and pharmaceutical terms and concepts