Inpatient Coder

Select Medical•Mechanicsburg, PA

22h•Onsite

About The Position

Select Medical is seeking an entry-level inpatient coder responsible for reviewing multidisciplinary inpatient medical records and health information to classify patient diagnoses and procedures by accurate ICD-10-PCS codes and DRGs. This role involves evaluating documentation of patient care to code and abstract data used for statistics, state reporting, reimbursement, and other needs. The coder will assign ICD-10-CM codes to inpatient diagnoses, treatments, and procedures according to coding guidelines, ensuring an error rate within work standards and maintaining productivity and quality standards. Communication with physicians and other care professionals for documentation clarification is also a key part of the role. The position requires preparing workload reports, participating in department management studies, and performing peer reviews. Continuous learning about coding and DRG assignment changes through federal publications and reference materials is essential, as is monitoring compliance with documentation standards.

Requirements

Completed medical coding education program with emphasis on inpatient coding
Excellent oral and written communication skills
Detail oriented
Excellent time management and organizational skills

Nice To Haves

RHIA, RHIT, CCS or CPC-H credentials.
Experience in ICD-10-CM diagnoses, procedure coding and DRG validation.
One or more years of experience with inpatient hospital medical records coding.

Responsibilities

Reviewing multidisciplinary inpatient medical records and health information to classify patient diagnoses and procedures by accurate ICD-10-PCS codes and DRGs.
Evaluating documentation of patient care to code and abstract data used for statistics, state reporting, reimbursement, and other needs.
Assigning ICD-10-CM codes to inpatient diagnoses, treatments and procedures according to coding guidelines.
Completing coding with an error rate within the work standard and maintaining standards relative to productivity and quality.
Communicating verbally and in writing with physicians, medical staff, and other care professionals when documentation needs clarification for accurate code assignment, which may or may not impact reimbursement.
Preparing workload reports and participating in department management studies, as well as data quality reviews or other documentation audits.
Performing peer review of codes and DRG assignment.
Keeping knowledge of coding and DRG assignment current by reviewing federal publications and other reference materials for changes in regulations and practice guidelines.
Monitoring compliance with documentation standards required for accurate and thorough coding.
Investigating, evaluating and identifying opportunities for documentation improvement.
Guiding hospital CEOs, medical staff, and others regarding compliant documentation practices required for accurate reimbursement and statistics.