Certified Inpatient Coder
The Certified Inpatient Coder is responsible for the accurate diagnostic and procedural coding of medical records. The Coder is also responsible for the accurate abstracting of medical, financial and demographic information, in addition to performing other events. Core duties and responsibilities include:
- Reviewing and evaluating designated medical records to identify diagnoses and procedures and accurately assigning and sequencing ICD CM, ICD PCS and/or CPT codes
- Reviewing medical records for proper assignment of diagnosis and procedure codes according to AHA coding guidelines
- Contacting physicians and other healthcare providers to clarify diagnoses and procedures
- Sequencing codes appropriately for accurate DRG
- Abstracting required data from the medical record, including, but not limited to, Attending Physician, Discharge Disposition, ICD-9-CM, ICD-10-CM, CPT diagnosis and/or procedure codes, and Physician Consultation
- Completing medical record abstracts
- Verifying patient demographic data for accuracy and completeness by comparing data in computer system with the medical record
- Reviewing the accuracy and consistency of medical record documentation and bringing any inconsistencies to the attention of the appropriate individual
- Keeping up to date on coding and regulatory changes
- Maintaining individual abstracting and review manual
- Achieving a Meets Expectations rating on coding/DRG audits
- Meeting productivity standards for coding
Minimum requirements include:
- Certified Coding Specialist or eligible
- RHIT or RHIA
- 3 years experience as a medical coder in an acute care hospital setting
- Knowledge and understanding of healthcare reimbursement methodologies and billing procedures
- Knowledge of health information management functions and computer operations
- Complete understanding of current coding system and guidelines (both ICD 10 CM and PCS)
Salary Range - $27.15- $36.54 hourly
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. This job description should not be construed as an exhaustive statement of duties, responsibilities or requirements, but a general description of the job. Nothing contained herein restricts the companys rights to assign or reassign duties and responsibilities to this job at any time. Shore Medical Center is an Equal Opportunity Employer. All applicants will receive consideration for employment without regard to sex, affectional or sexual orientation, gender, gender identity, orientation or expression; marital status, domestic partnership status, civil union status, pregnancy, race, creed, ancestry, color, ethnicity, national origin, age, disability, religion, genetic information, or veteran status or any other basis prohibited by law.