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Inpatient Medical Coding Jobs in Oregon (NOW HIRING)

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RN, Adult Surgical Oncology

Portland, OR · On-site

$85 - $110/hr

... Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role ... or Adult inpatient Med/Surg * BSN Graduates: Baccalaureate Degree in Nursing from a program ...

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Inpatient Medical Coding information

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How much do inpatient medical coding jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for inpatient medical coding in Oregon is $23.71, according to ZipRecruiter salary data. Most workers in this role earn between $19.04 and $25.43 per hour, depending on experience, location, and employer.

What is inpatient medical coding?

Inpatient medical coding is the process of translating the healthcare diagnoses, procedures, and services documented during a patient's hospital stay into standardized codes. These codes are used for billing, insurance reimbursement, and maintaining accurate patient records. Inpatient coders work primarily with ICD-10-CM and ICD-10-PCS code sets, focusing on records from hospital admissions rather than outpatient or clinic visits. Their work ensures compliance with regulations and helps healthcare providers receive proper compensation for services rendered.

What are the key skills and qualifications needed to thrive as an inpatient medical coder, and why are they important?

To thrive as an Inpatient Medical Coder, you need a thorough understanding of ICD-10-CM/PCS coding systems, medical terminology, anatomy, and compliance regulations, typically supported by a certification such as CCS or RHIT. Familiarity with electronic health record (EHR) systems, coding software, and hospital billing platforms is essential. Attention to detail, analytical thinking, and strong organizational skills set top performers apart in this role. These competencies ensure accurate coding, proper reimbursement, and compliance with healthcare regulations, all of which are critical for hospital operations.

What are some common challenges faced by inpatient medical coders and how can they be addressed?

Inpatient medical coders often encounter challenges such as interpreting complex medical records, keeping up with frequent updates to coding guidelines, and ensuring accuracy under tight deadlines. To address these challenges, it’s important to regularly participate in continuing education, utilize available coding resources, and communicate closely with healthcare providers for clarification when documentation is unclear. Many organizations also foster collaboration among coding teams, which helps in sharing knowledge and resolving difficult cases efficiently.

What is the difference between Inpatient Medical Coding vs Outpatient Medical Coding?

AspectInpatient Medical CodingOutpatient Medical Coding
CredentialsCPHIM, CPC, CCSCPHIM, CPC, CCS
Work EnvironmentHospitals, inpatient facilitiesClinics, outpatient centers
Industry UsageInpatient hospital staysOutpatient visits and procedures
Job FocusDiagnoses, procedures for hospital staysProcedures, diagnoses for outpatient visits

Inpatient Medical Coding involves coding diagnoses and procedures for hospital stays, requiring detailed knowledge of inpatient records. Outpatient Medical Coding focuses on outpatient visits and procedures. Both roles require similar credentials and are essential in healthcare billing, but they differ mainly in work environment and the type of patient encounters they cover.

How to become an inpatient medical coder?

To become an inpatient medical coder, you typically need a high school diploma or equivalent, followed by completing a coding training program or certificate in medical coding. Certification from organizations like the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA) is often required or preferred. Strong knowledge of medical terminology, anatomy, and coding systems such as ICD-10-CM and CPT is essential for success in this role.

Is there a shortage of inpatient medical coders?

Inpatient medical coding is experiencing a workforce shortage due to increasing healthcare documentation complexity and a growing demand for accurate coding. This has led to higher job opportunities, especially for certified coders with knowledge of ICD-10 and hospital coding systems. The shortage emphasizes the importance of certifications like CPC or CCS and ongoing training in medical coding standards.

What cities in Oregon are hiring for Inpatient Medical Coding jobs?

Cities in Oregon with the most Inpatient Medical Coding job openings:

Inpatient Medical Coding jobs near you
Infographic showing various Inpatient Medical Coding job openings in Oregon as of August 2026, with employment types broken down into 100% Full Time. Highlights an 43% In-person, and 57% Remote job distribution, with an average salary of $49,310 per year, or $23.7 per hour.

Manager - Clinical Documentation Integrity, Clinical Licensure

Kaiser Permanente

Portland, OR • On-site

$120 - $180/hr

Other

Re-posted 13 days ago

Kaiser Permanente rating

8.2

Company rating: 8.2 out of 10

Based on 927 frontline employees who took The Breakroom Quiz

55th of 898 rated healthcare providers

Job description

Job Summary

Leads the reviews of applicable cases of medical/health records and manages the scheduling and coverage of medical/health record reviews to promote the accuracy and completeness of clinical documentation, and mentors team members on resolving coding issues to facilitate the accurate capture of diagnoses in medical codes and diagnostic-related groups. Manages the improvement of the clinical documentation improvement/integrity (CDI) program by conducting data and root cause analyses and reviewing reports to identify improvement opportunities in CDI processes. Oversees regulatory compliance by performing audits of clinical documentation to facilitate compliance with coding guidelines and federal regulations, and collaborating with the team and leaders to address cases of non-compliance. Monitors staff training and education by identifying opportunities, developing, and/or leading trainings for medical staff on CDI (e.g., medical review and coding, quality standards, documentation requirements for diagnosis capture).

Essential Responsibilities
  • Provides developmental opportunities for others; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; works closely with employees to set goals and provide open feedback and coaching to drive performance improvement. Pursues professional growth; develops and provides training and development to talent for growth opportunities; supports execution of performance management guidelines and expectations. Leads, adapts, implements, and stays up to date with organizational change, challenges, feedback, best practices, processes, and industry trends. Fosters open dialogue amongst team members, engages, motivates, and promotes collaboration within and across teams. Delegates tasks and decisions as appropriate; provides appropriate support, guidance, and scope; encourages development and consideration of options in decision making.
  • Manages designated work unit or team by translating business plans into tactical action items; oversees the completion of work assignments and identifies opportunities for improvement; ensures all policies and procedures are followed. Aligns team efforts; builds accountability for and measuring progress in achieving results; determines and ensures processes and methodologies are implemented; resolves escalated issues as appropriate; sets standards and measures progress. Fosters the development of work plans to meet business priorities and deadlines; obtains and distributes resources. Removes obstacles that impact performance; identifies and addresses improvement opportunities; guides performance and develops contingency plans accordingly; influences teams to execute in alignment with operational objectives.
  • Leads clinical documentation reviews by: reviewing applicable cases of medical/health records and managing the scheduling and coverage of medical/health record reviews to promote the accuracy and completeness of clinical documentation; guiding team members to work with medical providers to rectify identified omissions or contradictions in medical records; mentoring team members on resolving complex coding issues to facilitate the accurate capture of medical codes and diagnostic-related groups (DRGs); serving as a resource for identifying and documenting the presence of medical conditions that impact severity of illness (SOI) and risk of mortality (ROM) indicators; and coordinating the resolution of all open clinical documentation improvement/integrity (CDI) queries.
  • Manages the improvement of clinical documentation processes by: analyzing reports to ensure the CDI program is effectively improving the accuracy and completeness of clinical documentation and documentation issues are efficiently resolved; conducting data and root cause analyses to identify trends and improvement opportunities in clinical review and documentation processes; and managing daily operations to ensure productivity and quality standards are achieved and recommending opportunities for improvement in CDI processes.
  • Monitors staff training and education by: identifying new opportunities, developing, and/or leading trainings for medical staff on clinical documentation improvement (e.g., medical review and coding, quality standards, documentation requirements for diagnosis capture); and offering guidance to the CDI team to develop programs for aligning clinical documentation education/training.
  • Oversees regulatory compliance by: providing guidance to CDI team on completing clinical documentation work in line with regulatory requirements; performing audits of clinical documentation to facilitate compliance with coding guidelines and federal regulations; collaborating with the team and leaders to address cases of non-compliance; and coordinating training opportunities to ensure the team has up-to-date knowledge on relevant regulations.
Minimum Qualifications
  • Minimum four (4) years of experience in an inpatient acute care or clinical setting.
  • Minimum three (3) years of experience in a leadership role with or without direct reports.
  • Minimum three (3) years of experience in clinical documentation improvement or integrity.
  • Bachelors degree in Nursing, Medicine, Health Administration, Health Information Management, or related field AND minimum six (6) years of experience in nursing, medicine, CDI, inpatient coding, quality review, case management, or directly related field OR Minimum nine (9) years of experience in nursing, medicine, CDI, inpatient coding, quality review, case management, or a directly related field.
  • This job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.
  • Physician Assistant License (Oregon) within 6 months of hire AND Physician Assistant License (Washington) within 6 months of hire
  • Registered Nurse License (Oregon) within 6 months of hire AND Registered Nurse License (Washington) within 6 months of hire
  • Physician License (Oregon) within 6 months of hire AND Physician License (Washington) within 6 months of hire
  • Nurse Practitioner License (Oregon) within 6 months of hire AND Nurse Practitioner License (Washington) within 6 months of hire
  • Registered Nurse License (Oregon) within 6 months of hire AND Compact License: Registered Nurse within 6 months of hire
Additional Requirements
  • Knowledge, Skills, and Abilities (KSAs): Information Gathering; Written Communication; Audits; Compliance Management; Confidentiality; Health Care Compliance; Maintain Files and Records; Applied Data Analysis; Data Quality; Health Care Data Analytics; Technical Documentation; Execution Excellence; Health Care Coding; Relationship Building; Coordination; Managing Complexity; Service Focus; Autonomy; Curriculum Development; Disease Classification; Internal Audit Processes; Medical Terminology; Medical Coding; Health Care Quality Standards; Employee and Physician Safety; Health Information Systems; Quality Improvement; Quality Assurance and Effectiveness; Government Health Care Programs; Training; Data Stewardship; Trend Analysis; Root Cause Analysis; Project Management; Health Plan Operations
Preferred Qualifications
  • Certified Clinical Documentation Specialist Credential (CCDS) from the Association of Clinical Documentation Integrity Specialists (ACDIS) OR Certified Documentation Improvement Practitioner (CDIP), Certified Coding Specialist (CCS), Certified Coding Specialist Physician-based (CCS-P), Registered Health Information Administrator (RHIA), OR Registered Health Information Technician (RHIT) from the American Health Information Management Association.
  • Three (3) years of experience using Epic System software OR other Electronic Medical Record (EMR) system.
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