Coder Inpatient
About The Position
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.
Requirements
- Minimum of 2–3-year inpatient coding experience.
- One of the following coding credentials required by the client: RHIA, RHIT, or CCS.
Responsibilities
- Abstracting, coding, sequencing and interpreting clinical information from inpatient, outpatient, emergency department, pro fee and clinical medical records.
- Assigning correct principal diagnoses, secondary diagnoses, principal procedure and secondary procedure codes with attention to accurate sequencing.
- Utilizing technical coding principals and DRG/APC reimbursement expertise to assign appropriate codes.
- Abstracting and coding pertinent medical data into multiple software programs and/or encoders.
- Following official coding guidelines to review and analyze health records.
- Maintaining compliance with external regulatory and accreditation requirements, and with State and Federal regulations.
- Extracting pertinent data from the patient’s health record and determining appropriate coding for reports and billing documents.
- Identifying codes for reporting medical services and procedures performed by physicians.
- Entering codes into various computer systems dependent upon the various clients.
- Tracking and documenting productivity in specified systems, maintaining productivity levels as defined by the client.
- Maintaining a 95% quality rating.
- Performing 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
