Coder Inpatient
About The Position
The Coder Inpatient is responsible for abstracting, coding, sequencing, and interpreting clinical information from various medical records, including inpatient, outpatient, emergency department, pro fee, and clinical records. This role involves assigning correct principal and secondary diagnoses and procedure codes with accurate sequencing, utilizing technical coding principles and DRG/APC reimbursement expertise. The Coder will abstract and code pertinent medical data into multiple software programs and/or encoders, ensuring compliance with official coding guidelines, external regulatory, and accreditation requirements, as well as State and Federal regulations. Key duties also include extracting data for reports and billing, identifying codes for medical services and physician procedures, entering codes into various computer systems, tracking and documenting productivity to client-defined levels, and maintaining a 95% quality rating. All duties must be performed in compliance with company policies and procedures, including HIPAA.
Requirements
- Utilizes technical coding principals and DRG/APC reimbursement expertise to assign appropriate codes.
- Maintain 95% quality rating.
- Perform duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance.
- Follows official coding guidelines to review and analyze health records.
Responsibilities
- Responsible for abstracting, coding, sequencing and interpreting the clinical information from inpatient, outpatient, emergency department, pro fee and clinical medical records.
- Responsible for the assignment of correct principal diagnoses, secondary diagnoses and principal procedure and secondary procedure codes with attention to accurate sequencing.
- Utilizes technical coding principals and DRG/APC reimbursement expertise to assign appropriate codes.
- Abstracts and codes pertinent medical data into multiple software programs and/or encoders.
- Follows official coding guidelines to review and analyze health records.
- Maintains compliance with both external regulatory and accreditation requirements, and with State and Federal regulations.
- Extracts pertinent data from the patient’s health record, and determines appropriate coding for reports and billing documents.
- Identifies codes for reporting medical services, procedures performed by physicians.
- Enters codes into various computer systems dependent upon the various clients.
- Track and document productivity in specified systems, maintain productivity levels as defined by the client.
- Maintain 95% quality rating.
- Perform duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
1-10 employees
