HIM INPATIENT CODING ANALYST (Temporary)

Southwest General Health Center is a 352-bed community hospital located in Middleburg Heights, Ohio. One of the last standing community hospitals in Northeast Ohio, we partner with University Hospitals and other local community organizations to provide a full range of services to all who need us. We are certified as a Level III Trauma Center and a Primary Stroke Center, and have been serving our community for over 100 years!

At Southwest General, we believe in the power of teamwork, creating a family-like environment, ensuring a work-life balance, and providing meaningful work to make a real difference in people’s lives.

We value our employees as much as our patients, offering a supportive work culture that encourages growth, development and collaboration. We’re committed to building a team that works together, supports each other, and ultimately, saves lives every day.

At Southwest, you are family.

Position summary:

The HIM Inpatient Coding Analyst is responsible for accurate review and analysis of ICD-10-CM/PCS codes on inpatient medical records. The analyst will review billing edits to determine next steps in producing a clean claim or responding to payer rejections, underpayments, and denials. This role ensures compliance with official coding guidelines, regulatory requirements, and payer and hospital policies. The analyst will collaborate with hospital billing, registration, prior authorization, coding, and clinical documentation integrity teams as appropriate to resolve billing edits in a timely manner.

MINIMUM QUALIFICATIONS

Education: Associate degree in Health Information Management or related field required. Bachelor’s degree preferred.

Required length and type of experience: Minimum of 3 years inpatient coding experience in an acute care hospital setting. Experience with DRG validation, coding audits, billing edits, and local/national coverage determinations preferred.

Required licensure, certification or registry: Certified Coding Specialist (CCS), Registered Health Information Technologist (RHIT), or Registered Health Information Administrator (RHIA) required.

Below are the duties and responsibilities for this position.

• Review inpatient billing edits in hospital billing software and determine appropriate corrective actions
• Collaborate with coding, billing, registration, prior authorization, and clinical documentation teams to resolve claim issues
• Ensure coding accuracy and compliance with official coding guidelines, regulatory requirements, and payer policies
• Monitor and track edit resolution progress to support timely claim submission
• Respond to payer requests related to coding clarifications and documentation needs
• Report identified coding issues or trends to HIM Director
• Work collaboratively with all HIM teams as well as other departments and contribute to a positive work environment.