Coder IIIThe Coder III is responsible for performing International Classification of Diseases (ICD) coding of all inpatient charts for billing, case mix, and data collection purposes and subsequently assigns Diagnostic Related Groups (DRG). The Coder III completes retrospective review of patient charts and performs edits to resolve errors. The Coder III maintains data integrity within the hospital information systems.ResponsibilitiesAssigns ICD codes to patient diagnoses and procedures for inpatient services Assess the accuracy and completeness of all information provided in documentationAssign codes to diagnosis, procedures, and treatments in accordance with prescribed classification systemsAssigns Diagnostic Related Groups to inpatient encountersEnter relevant patient data such as active medical complaint, the reason for admission, type of illness, and breakdown of treatment providedReview provider documentation to determine the principal and secondary diagnosis and co-morbidities and complicationsUse technical coding principles and reimbursement expertise to assign proper diagnosis and procedures to each patient recordPrioritizes assignments according to established criteria and decrease pending accountsContacts or queries physician when additional information or clarification is needed to codeReviews documentation and coding for accuracy and practices compliance with coding guidelines and protocols Performs compliance edits on inpatient records, and ensures discrepancies are resolvedReviews abstracted and statistical data for corrections and submits findings to leaderMaintain current information/knowledge regarding coding principles and guidelinesCompletes retrospective reviews on patient charts as requestedAssists in peer reviews on designated patient charts by utilizing established guidelinesUtilizes the Electronic Health Record system and other related computer systems and software Selects appropriate assignments for coding/abstracting from work queuesEnters coded and abstracted data appropriately for use within the hospital information systemAssigns appropriate discharge disposition to patient encountersMaintains data integrity through review of the overall completeness, accuracy, and consistency of data within relevant systemsQualificationsEducation:High School or GEDCertification:CPC and/or CPC-H, CCS, RHIT, and/or RHIAExperience:4 years as a medical coder in a hospital settingSkills:Analyzing and organizing technical dataMultitasking, time-management, and organizationVerbal and written communication