Roanoke, VA, US, 24011

Job Summary

Welcome to a promising future with this unique career opportunity. At Carilion Clinic, our team provides accurate medical record documentation in a forward-thinking environment.

You will thrive through extensive training, supportive leaders and potential for advancement. Carilion offers comprehensive benefits, paid time off, and tuition options.

Join a team where your skills and ideas will make a difference in the health of our patients and the communities we live in.

Responsible for concurrent or retrospective coding of inpatient accounts, using ICD 10 CM coding guidelines. Requires daily consultation with physicians to ensure accurate capture of the principal diagnoses and procedure, and Present on Admission Indicators to ensure proper APRDRG or DRG assignment for reimbursement and clinical reporting. Acts as a documentation improvement consultant with the physicians, and assists them with correct documentation for coding and reporting clarity. Interacts with Clinical Documentation Specialists. Masters the Severity of Illness and Risk of Mortality indicators and consults with physicians to ensure documentation reflects these characteristics in our patient population.

Organization-wide Inpatient Volume is approximately 50,000 - 55,000 per year.


Primary job duties of the Coder-Inpatient include, but are not limited to, the following:


  • Must be skilled in the application of ICD-10-CM and CPT coding methodologies for coding  of Inpatient records and well as ED, Ambulatory Surgery, and medical necessity for Ourpatient Diagnostic visits.
  • Captures the correct principal diagnosis, co-existing conditions, and principal procedure for each inpatient admission.  Consults with the physicians to clarify or improve documentation for correct coding assignment to ensure correct data reporting and reimbursement and to maintain compliance with Federal and State regulations.
  • Responsible for sequencing codes that a) capture accurate Severity of Illness/Risk of Mortality, to reflect the nature of Carilion's  patient population for comparison to other facilities and health organizations nationally, impacting quality of care reporting of Carilion's facilities and pay for performance initiatives.
  • Masters all grouper systems used by payers to assign the correct, DRG, APDRG, or APRDRG and maintains a working knowledge of payer requirements for use of HCPCS S, C, G, and D code application.

Minimum Qualifications

Education: High School education required; College degree preferred. Medical Terminology and Physiology Anatomy required.

Experience: Requires previous experience in Inpatient Coding or a minimum of 2.0 - 2.5 years of coding proficiency (96% accuracy rate) covering Outpatient Diagnostics, Emergency Department and Ambulatory Surgery coding to be considered for inpatient coding training. Requires knowledge of body systems, disease processes, anatomy and physiology and medical terminology. Basic computer skills required.

Licensure, certification, and/or registration: RHIT, RHIA, CCA, CCS, CPC, or CPC-H certifications required for consideration for position. ICD-10 training required.

Other Minimum Qualifications: N/A

Our Values

Below are our core values that we strive to embody and expect of all our team members:

CommUNITY:  Working in unison to serve our community, our Carilion family and our loved ones.

Courage:  Doing what’s right for our patients without question.

Commitment:  Unwavering in our quest for exceptional quality and service.

Compassion:  Putting heart into everything we do.

Curiosity:  Fostering creativity and innovation in our pursuit of excellence.



Requisition Number: 70383 
Employment Status: Full time 
Location: CASB - Carilion Administrative Services Building 
Shift: Day/Evening 
Shift Details: Primarily M-F (days)
Recruiter Email: kagonce@carilionclinic.org
For more information, contact the HR Service Center at 1-800-599-2537.

This is Carilion Clinic ...

An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious.

Headquartered in Roanoke, Va., you will find a robust system of award winning
hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute.

Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us.

Equal Opportunity Employer

Minorities/Females/Protected Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity

Carilion Clinic is a drug-free workplace.


Nearest Major Market: Roanoke

Job Segment: Neurology, Orthopedic, Physiology, Medical, Medical Coding, Healthcare