Inpatient Coding Specialist - Pediatrics
Posted on July 13, 2026 (about 2 hours ago)
Inpatient Coding Specialist - Pediatrics | Remote Texas | $10,000 Sign-On Bonus
Location: Fort Worth, TX
Time type: Full time
Job Requisition ID: JR-112592
Location: Medical Center - Fort Worth
Department: HIM-Coding
Shift: First Shift (United States of America)
Standard Weekly Hours: 40
Summary
The HIM Coder Analyst III requires superior knowledge of and skill in applying International Classification of Diseases and Procedures (ICD) and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-9-CM, ICD-10-CM/PCS and CPT-4 codes accurately and timely to the highest level of specificity based upon physician documentation for inpatient, observation and outpatient ambulatory procedures/treatment room records. Validates the coded data to one or more Diagnosis Related Groupers (DRG) and validates the Present on Admission (POA) indicators for accuracy. Primarily codes more complex and difficult inpatient medical records. Identifies and abstracts specified information from the patient medical record and enters data into the electronic health record system for billing and use in CCHCS reporting. Performs extended length of stay coding for interim cycle billing and during in-house interim coding reviews documentation opportunities and queries with CDIS to clarify incomplete or conflicting information in real time. Assists with coding outpatient surgery, observation, outpatient ancillary clinic, specialty clinic and emergency room record visits as necessary. Minimum expected accuracy rate for all coding and DRG assignments is 95% or above. Communicates with physicians and other providers regarding documentation requirements and collaborates with Clinical Documentation Specialists or Quality Auditors on patient cases. Maintains current knowledge of coding, DRG and documentation changes, rules and guidelines.
Education & Experience
- RHIA or RHIT required, with CCS highly desired; or CCS with a minimum of two (2) years full-time current and continuous ICD-10-CM/PCS hospital inpatient medical record coding and prospective payment system experience, including DRG assignment.
- Outpatient observation and ambulatory surgery with CPT-4 coding and abstracting experience preferred.
- Pediatric coding experience highly desired.
- Technically competent with navigation of electronic health record applications, automated encoders, and other required software and hardware.
- Experience using Microsoft Office Excel and Word highly desired.
- Ability to work independently and productively with minimal guidance.
- Highly detail oriented with strong organization, interpersonal and communication skills; ability to maintain confidentiality.
- Goal oriented, flexible and energetic with superior coding and critical thinking skills.
- Ability to solve problems using job knowledge and current policies and procedures.
- Demonstrated coding knowledge and proficiency required through on-site skills assessment with a passing score of 90% accuracy prior to hire.
Certification/Licensure
- Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) required.
- Required to provide current American Health Information Management Association (AHIMA) continuing education certification records.
About Us
Cook Children's Medical Center is the cornerstone of Cook Children's, offering advanced technologies, research and treatments, surgery, rehabilitation and ancillary services designed to meet children's needs. Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.
How to Apply
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Application Details
Job ID: 84745792. Employer: CookChildren's. You may also use the APPLY controls on the page (visible as an "APPLY" button).