Posted 2d ago

Senior Inpatient Coder

@ Xtensys
Ithaca, New York, United States
RemoteFull Time
Responsibilities:lead audits, develop education, manage queues
Requirements Summary:5+ years medical coding; 3+ years technical coding; audits, education, CDI collaboration, ICD-10-CM/PCS, CPT, HCPCS; RHIT/RHIA/CCS; Epic and 3M encoder a plus.
Technical Tools Mentioned:Epic, 3M encoder
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Job Description
Work Type: Remote

Who We Are:

Xtensys is a rapidly growing managed service provider delivering innovative technology solutions to health systems, beginning in New York and expanding nationwide. Owned by two industry leaders with a strong focus on advancing rural and community healthcare, Xtensys is executing several major initiatives and scaling quickly. With a team of more than 500 professionals, we are building a people-centered culture rooted in collaboration, innovation, and strategic thinking.

We are seeking an experienced Senior Inpatient Coder, to support our continued growth and commitment to deliver exceptional client outcomes.

Why Join Us?

• Mission-Driven Work: You are the "bridge" ensuring technology serves health systems and their patients when they need it most.

• Autonomy & Ownership: We trust you. You’ll lead projects, define success, and manage complexities with total support.

• A Culture of Innovation: Have a fresh perspective? We want it. We encourage risk-taking and continuous improvement.

• Continuous Growth: We fuel your "restless curiosity" with opportunities to expand your skillset and mentor others.

The Role:

Your Mission: As our Senior Inpatient Coder, you’ll play a critical role in safeguarding the accuracy, compliance, and integrity of clinical, technical coding across the hospital. As a trusted subject matter expert, you’ll influence best practices, elevate coding quality, and help build a high‑performing, engaged team of coding professionals.

In this role, you’ll lead and conduct coding audits, provide targeted education and coaching to staff, manage work queues, and develop meaningful performance metrics --- including coder report cards—to support continuous improvement and retention of top talent. You’ll collaborate closely with coders, Clinical Documentation Improvement (CDI), denials, revenue cycle, and other key partners to ensure accurate reimbursement, regulatory compliance, and reliable clinical data.

Your expertise and partnership will directly impact financial integrity, data quality, and patient care outcomes—making this a role where your knowledge truly makes a difference.

What You’ll Do Day-to-Day:

• Lead routine and targeted coding audits to ensure accuracy, compliance, and alignment with ICD‑10‑CM/PCS, CPT, and HCPCS guidelines
• Identify coding trends and risks, and provide clear, actionable feedback to coders and leadership
• Support internal and external audit readiness, including responding to external audit requests
• Develop and deliver education and training based on audit results, regulatory updates, and performance needs
• Serve as a trusted coding resource and mentor, supporting complex cases and day‑to‑day questions
• Create and maintain coder report cards and performance dashboards to track accuracy and productivity
• Partner with leadership on performance improvement initiatives
• Manage claim edit work queues, resolving edits and identifying workflow inefficiencies
• Maintain coding credentials, required continuing education, and strict patient confidentiality
• Support additional departmental needs as they arise

Who You Are & What You’ll Bring:

Proven Track Record:
• Five (5) or more years of combined medical coding experience required, including at least three (3) years in technical coding
• Demonstrated knowledge of DRGs, APCs, and APGs, including reimbursement impact
• Strong written and verbal communication skills
• Excellent time management and organizational abilities

Preferred Skills & Experience:
• Proven ability to conduct audits, including audit response activities, identifying trends and ensuring compliance.
• Experience providing coder education, coaching, or mentoring
• Ability to collaborate effectively with leadership and cross‑functional partners

Education/Certifications:
• Associates’ degree is required (Health Information Technology degree, preferred)
• One (1) AHIMA certification is required -- (RHIT, RHIA or CCS)

Technical Savvy:
• Experience with Epic is a plus.
• Experience with 3M encoder is a plus.

Travel Requirements: No travel required

Physical Readiness: Capability for sedentary work, including sitting for long periods and occasionally exerting up to 10 pounds of force. 

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