Inpatient Coder

Job Summary

Reviews patient records in a timely manner to identify an appropriate selection of codes to accurately reflect the reason for admission, extent of care received, and level of severity of illness. Insures that all data elements required for federal and state reporting are collected and included in the patient?s demographic record. Codes,

sequences and abstracts diagnoses and procedures for all inpatient, ambulatory, observation, partial hospitalization program (PHP), in accordance with ICD-9-CM, CPT, and Coding Clinic guidelines.

Essential Duties and Responsibilities

• Assigns ICD-9-CM diagnosis and procedure codes using the 3M Encoder for all inpatient accounts & maintains a 95% accuracy rate when coding & sequencing medical records.
• Assigns codes to ambulatory, observation, and PHP as necessary.
• Complies with established coding productivity standards as outlined in department policies & procedures and seeks supervisor assistance when such standards cannot be met.
• Maintains and submits to Leader on a daily basis required productivity logs for all assigned tasks.
• Performs patient record coding using the EPF system 100% of the time when patient records have been scanned and indexed into the EPF system.
• Reviews the Smart system (Sheet) generated flags on a daily basis and makes necessary changes to the patient registration and accounting system (Series) in a timely manner.
• Reviews unbilled accounts on a daily basis to identify those pending; maintains unbilled accounts at the expected rolling average within the assigned financial goal & within 4 days of discharge.

Knowledge/Skills/Abilities

• High school education or equivalent preferred
• Inpatient coding experience preferred.
• Completion of an accredited Coding Education program preferred.
• Ability to communicate effectively in English both verbally and in writing.
• Ability to learn appropriate software application(s).
• Able to maintain confidentiality of sensitive information.
• Able to relate cooperatively and constructively with customers and co-workers.
• Adaptable to frequent changes in assignments.
• Proficient in alphabetical and numerical filing systems.
• Requires good organizational skills.

Minimum Job Requirements

• 2 - 3 years of medical coding experience.

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