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Inpatient Coding Resolution Specialist Jobs in Silver Spring, MD

Cooper Thomas

Inpatient PTF Coders

Washington, DC · Remote

$22.25 - $26.75/hr

... Coding Specialist-Physician (CCS-P) · Clinical Modification/Procedure Coding System Trainer ... · Certified Inpatient Coder (CIC) Minimum Education Requirement · High School Diploma or ...

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All JobsInpatient Coding Resolution Specialist JobsInpatient Coding Resolution Specialist Jobs in Silver Spring, MD

Inpatient Coding Resolution Specialist information

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How much do inpatient coding resolution specialist jobs pay per hour?

As of Jul 25, 2026, the average hourly pay for inpatient coding resolution specialist in Silver Spring, MD is $28.33, according to ZipRecruiter salary data. Most workers in this role earn between $22.88 and $33.80 per hour, depending on experience, location, and employer.

What are some common challenges faced by Inpatient Coding Resolution Specialists, and how are they typically addressed?

Inpatient Coding Resolution Specialists often encounter challenges such as interpreting complex medical records, keeping up with frequent coding updates, and resolving discrepancies between clinical documentation and coding guidelines. To address these, specialists regularly collaborate with physicians and clinical staff to clarify documentation, participate in ongoing training to stay current with coding standards (like ICD-10 and DRG classifications), and utilize coding software to ensure accuracy. Effective communication and strong attention to detail are essential for successfully navigating these challenges within a hospital or healthcare system setting.

What is the difference between Inpatient Coding Resolution Specialist vs Medical Coder?

AspectInpatient Coding Resolution SpecialistMedical Coder
CertificationsAHIMA or AAPC credentials, coding certificationsSimilar certifications, often AHIMA or AAPC
Work EnvironmentHospitals, inpatient facilities, coding departmentsClinics, outpatient facilities, various healthcare settings
Job FocusResolving inpatient coding discrepancies, ensuring accurate DRG assignmentGeneral coding tasks across inpatient and outpatient records
Employer & Industry UsageHospitals, health systems, inpatient coding teamsMedical practices, outpatient clinics, coding companies

The Inpatient Coding Resolution Specialist primarily focuses on resolving inpatient coding issues, ensuring accurate DRG assignments, and working within hospital settings. In contrast, Medical Coders handle a broader range of coding tasks across inpatient and outpatient records. Both roles require similar certifications and often work in healthcare environments that demand precise coding skills, but their specific responsibilities and work settings differ.

What are Inpatient Coding Resolution Specialists?

Inpatient Coding Resolution Specialists are healthcare professionals who review, analyze, and resolve discrepancies or issues in medical coding for inpatient hospital stays. They ensure that diagnoses, procedures, and services are accurately coded according to regulatory and payer requirements, which helps maximize reimbursement and maintain compliance. These specialists often collaborate with physicians, clinical staff, and other coding professionals to clarify documentation and resolve coding denials or audits. Their expertise is crucial for the financial health of healthcare organizations and for maintaining accurate patient records.

What are the key skills and qualifications needed to thrive as an Inpatient Coding Resolution Specialist, and why are they important?

To excel as an Inpatient Coding Resolution Specialist, you need a solid understanding of medical terminology, ICD-10-CM/PCS coding systems, and healthcare reimbursement methodologies, often backed by a certification such as CCS or RHIA/RHIT. Familiarity with electronic health record (EHR) systems, coding software, and compliance tools is crucial for accurate data entry and audit processes. Strong analytical thinking, attention to detail, and effective communication skills distinguish top performers in this role. These skills are vital to ensure coding accuracy, regulatory compliance, and optimal reimbursement for healthcare organizations.
What are popular job titles related to Inpatient Coding Resolution Specialist jobs in Silver Spring, MD? For Inpatient Coding Resolution Specialist jobs in Silver Spring, MD, the most frequently searched job titles are:
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Inpatient Coding Resolution Specialist jobs near you
Senior Inpatient Coder, Full Time

Senior Inpatient Coder, Full Time

University of Maryland Medical System

Baltimore, MD • On-site

$302K/yr

Full-time

Posted 27 days ago

Job description

Job Requirements
Senior Inpatient Coder - Remote
Monday - Friday 6AM-6PM ET (40 hours/week)
Under direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems.
  • Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed.
  • Analyzes, codes and abstracts complex inpatient cases such as trauma, rehab, neurology, critical care, etc.utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment.
  • Utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed.
  • Collaborates with other senior coders (and the other coding staff) with sharing coding information and providing coding advice to colleagues regarding complex cases to be coded.
  • Monitors assigned work on a daily basis in order to facilitate the billing process within the established timeframes. Codes and abstracts records within timeframes established for each patient type.
  • Maintains coding quality accuracy rate of 90%.
  • Maintains productivity rate of 95%.
  • Communicates with various departments within the hospitals regarding billing and registration issues. Refers any problems to management timely, providing clear details. Compose appropriate coding queries, work collaboratively with CDI, understand Potentially Preventable Complications (PPC's)/Maryland Hospital Acquired Conditions (MHAC's), and Prevention Quality Indicators (PQI's) and their impact.
  • Communicates with the Auditing team to discuss audit findings and working collaboratively in making sure that all accounts are coded appropriately and meet standards of compliance
  • Complies with AHIMA standards of ethical coding and coding compliance guidelines.
  • Demonstrates support and compliance with University of Maryland Medical System mission, vision, values statement, goals and objectives and policies. Performs other duties or projects such as coding corrections as assigned by the manager.

Work Experience
  • High School graduate or equivalent. Formal ICD-10-CM and CPT training Associates or Bachelor's degree preferred.
  • Minimum of three years ICD-10-CM/ICD-10-PCS coding and abstracting experience with at a Level 1 Trauma and Rehab hospital or 4 years of experience with coding inpatient hospital medical records required.
  • One of the following required: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Inpatient Coder (CIC)

Benefits
All your information will be kept confidential according to EEO guidelines.
Compensation:
  • Pay Range: $30.26 - $42.37
  • Other Compensation (if applicable):

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