The Inpatient Health Information Management Coder reviews inpatient medical records and assigns diagnosis and procedure codes to support quality care, compliance, and appropriate reimbursement. The role applies ICD-10-CM/PCS coding guidelines and established standards, verifies that documentation supports assigned codes, and works with clinical and revenue cycle teams. The coder identifies documentation or coding concerns and seeks clarification when appropriate, maintains accuracy and productivity, stays current with coding guidelines, regulatory requirements, and organizational policies, and protects patient confidentiality in accordance with HIPAA.
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Job Type
Full-time
Education Level
High school or GED