**Employment Type:** Full time **Shift:** Day Shift **Description:** Performs coding of inpatient discharges while adhering to the official coding and reporting guidelines. Reviews the Inpatient health record documentation, as part of the coding process, to assess the presence of clinical evidence/indicators to support diagnosis code and MS-DRG, APR DRG assignments to potentially decrease denials. Full-time 40 hours weekly Under direct supervision, reviews physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure, and secondary procedures. Assigns appropriate Medicare Severity Diagnosis Related Groups (MS-DRG), All Patient Refined DRGs (APR), Present on Admission (POA), as well as Severity of Illness (SOI) & Risk of Mortality (ROM) indicators for Inpatient records. Identifies Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments. Assigns appropriate code(s) by utilizing coding guidelines established by: • The Centers for Disease Control (CDC), ICD-CM Official Coding Guidelines for Coding and Reporting, Centers for Medicare/Medicaid Services (CMS) ICD-PCS Official Guidelines for Coding and Reporting • American Hospital Association (AHA) Coding Clinic for International Classification of Diseases, Clinical Modification • American Health Information Management Association (AHIMA) Standards of Ethical Coding • Revenue Excellence/HM coding procedures and guideline Position Requirements: Minimum Education: Required: High School Diploma plus training acquired through work experience or education Preferred: Associate degree OR equivalent training acquired via work experience or education Specify Degree(s): Graduate of accredited Health Information/Coding program Minimum Experience: Required: Less than one year of previous job-related experience Preferred: 1-2 years of previous job-related experience Managerial Experience: N/A Licensure/Certifications: Required: Coder - Certified Coding Associate (AHIMA) or Coder - Certified Coding Specialist (AHIMA) or Coder - Certified Coding Specialist Physician Based (AHIMA) or Health Information - Registered Health Information Administrator (AHIMA) or Health Information - Registered Health Information Technician (AHIMA) Preferred: N/A Other: At least one of the above certifications is required upon hire or within first 9 months of employment. Pay Range: $24.33 - $37.73 per hour _Actual compensation will fall within the range_ _but_ _may vary based on factors such as experience, qualifications, education, location, licensure, certification requirements, and comparisons to colleagues in similar roles._ Trinity Health Benefits Summary (https://www.trinity-health.org/sites/default/files/my-benefits/Health-and-Wellbeing/Compliance/Illinois-Transparency-Law/Trinity-Health-Summary-of-Benefits-Illinois-Job-Req-Discloser-Law.pdf) **Our Commitment to Diversity and Inclusion** Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law. Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity. EOE including disability/veteran