About The Position

The Coder InPatient is responsible for evaluating and assigning the appropriate ICD-9, ICD-10, CPT-4, and HCPCS codes, and abstracting pertinent clinical information for bill preparation. This includes work for Inpatient, Rehabilitation, and select Coder II functions as outlined in the Coding Policy and Procedure Manual.

Requirements

  • Post high school special training required.
  • Credentials or equivalent through AHIMA (American Health Information Management Association) or AAPC (American Academy of Professional Coders).
  • Knowledge of basic and advanced ICD-9-CM and CPT-4 coding instructions, medical terminology, anatomy, and physiology.
  • Verifiable training in coding systems, advanced medical and anatomical terminology, clinical theory, and reimbursement principles through college courses, hospital in-service programs, and/or approved seminars.
  • Minimum of 1 year of experience in acute care coding, including Medicare, MS-DRGs, and APR-DRGs.
  • Must be able to read, write, speak, and understand English.

Responsibilities

  • Evaluate patient records and assign accurate ICD-9, ICD-10, CPT-4, and HCPCS codes.
  • Abstract and document pertinent clinical information to support accurate billing.
  • Perform selected Coder II functions in accordance with the Coding Policy and Procedure Manual.
  • Research and resolve coding and billing issues as they arise.
  • Analyze medical records for completeness, consistency, and compliance with all regulatory requirements.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Industry

Hospitals

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

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