CERTIFIED INPATIENT/OUTPATIENT CODER

MARSHALL COUNTY HOSPITAL DISTRICT•Benton, KY

5d•Onsite

About The Position

The Certified Inpatient/Outpatient Coder is primarily responsible for the accurate assignment of ICD-10 and CPT codes for all Inpatient discharges and all outpatient records in a timely manner. This role involves abstracting patient information into the CPSI information system, ensuring correct coding, sequencing, and calculation of DRGs for Medicare discharges. The coder will also assemble and maintain deficiency charts, assist colleagues, and communicate any issues affecting the coding process to the Medical Records Director.

Requirements

Knowledge of medical terminology, anatomy and computer/typing skills.
Ability to decipher physician and nurse orders.
Dependability, confidentiality, ability to type, ability to work with people.
Must be able to perform more than one task at a time.
Must be able to work well under stress.
Ability and willingness to communicate and work well with doctors, department managers, medical offices, and all employees.
Willingness to help others as needed in the department or as requested by the Director of Medical Records.

Nice To Haves

Experience is preferred but not required.

Responsibilities

Accurately assigning ICD-10 diagnosis and procedural codes on all Inpatient Discharges and Outpatient records using the 3M Code-finder in a timely manner.
Ensuring patient information is correct and properly abstracted in CPSI information system within seven days of patient discharge.
Verifying ICD-10-CM Diagnosis and Procedure codes are entered and sequenced properly.
Confirming Procedure dates and procedural physician are correctly indicated with procedure code.
Calculating DRG’s (Diagnosis Related Groups) for all Medicare Inpatient discharges.
Ensuring Discharge Disposition is correct, reflecting physician discharge order on medical record.
Verifying Admission type code is correct.
Ensuring Service is correct.
Entering physicians correctly with attending physician listed first and subsequent physicians listed after.
Assembling and Deficiencies charts according to hospital guidelines.
Assisting others as needed, or as directed by the Medical Records Director.
Keeping Medical Records Director informed as to problems or concerns that hold up or compromise coding process.