Coder Inpatient

Essential Job Functions 

• Responsible for abstracting, coding, sequencing and interpreting the clinical information from inpatient, outpatient, emergency department, pro fee and clinical medical records.

• Responsible for the assignment of correct principal diagnoses, secondary diagnoses and principal procedure and secondary procedure codes with attention to accurate sequencing.

• Utilizes technical coding principals and DRG/APC reimbursement expertise to assign appropriate codes.

• Abstracts and codes pertinent medical data into multiple software programs and/or encoders.  Follows official coding guidelines to review and analyze health records.

• Maintains compliance with both external regulatory and accreditation requirements, and with State and Federal regulations.

• Extracts pertinent data from the patient’s health record, and determines appropriate coding for reports and billing documents.

• Identifies codes for reporting medical services, procedures performed by physicians.  Enters codes into various computer systems dependent upon the various clients.

• Track and document productivity in specified systems, maintain productivity levels as defined by the client.

• Maintain 95% quality rating

• Perform duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance.

Key Success Indicators/Attributes

• Ability to prioritize and multi-task in a fast-paced, changing environment.

• Demonstrate ability to work in all work types and specialties.