Inpatient Coder

DCH Health System•Tuscaloosa, AL

About The Position

Individual responsible for coding all hospital IP records for purposes of reimbursement, research, and compliance with federal regulations. Applies correct ICD-10CM diagnosis and /ICD-10PCS procedure codes and assigns appropriate DRG. Coder must abstract statistical data from records into hospital abstracting system in accordance with hospital policies and procedures. Individual must have knowledge of DRG’s and federal and state coding guidelines.

Requirements

Associates or bachelor’s degree in Health Information Technology from an AHIMA/CAHIIM accredited school or graduate of an AHIMA accredited medical coding program.
A minimum of 3 years of experience in an acute care setting.
Must pass DCH’s coding proficiency assessment for inpatient coders.

Nice To Haves

Some encoder experience preferred.
RHIA, RHIT, CCS preferred.
Experience working remotely preferred.

Responsibilities

Reviews patient’s entire current medical record and assigns appropriate ICD-10-CM diagnosis and ICD-10- PCS procedure codes according to accepted coding guidelines and hospital’s policies and procedures.
Assigns accurate DRG to patient’s record utilizing hospital encoding system.
Accurately abstracts statistical data from records using hospital abstracting system in accordance with hospital policies and procedures.
Attends hospital sponsored educational programs and department coding meetings.
Issues queries or send charts for query to clarify diagnoses in the patient’s medical record in compliance with hospital policies and guidelines.
Participates in and practices lean management principles and processes.
Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
Performs compliance requirements as outlined in the Employee Handbook
Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.
Performs essential job functions in a manner that ensures the safety of patients, visitors and employees.
Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees.
Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees.
Requires use of electronic mail, time and attendance software, learning management software and intranet.
Must adhere to all DCH Health System policies and procedures.
All other duties as assigned.