Inpatient Coder Responsible for assigning appropriate diagnostic and procedural codes to patient charts of moderate to high complexity using ICD-10-CM, ICD-10-PCS, CPT, HCPCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Job Summary: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA) Reviews medical records to determine accurate required abstracting elements including appropriate discharge disposition Knowledge of MS-DRG and APR DRG classifications and reimbursement structures Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and ICD-10-PCS coding Comprehensive understanding of CCs/MCCs, impact on quality reporting, UHDDS guidelines, HACs and PSIs The Inpatient Coder shall review hospital medical documentation to assign and sequence the appropriate principal diagnosis, secondary diagnoses and procedures utilizing ICD-10-CM, ICD-10-PCS codes with inpatient encounters to ensure proper coding, billing and compliance Experience with compliant physician query writing
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Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED