JOB SUMMARY: The Inpatient Coder is responsible for accurately abstracting data into appropriate client electronic medical record systems, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding, UHDDS guidelines, and CMS directives. Performs data entry of required abstracted patient information into the client’s information system. Assigns Present on Admission (POA) indicators according to AHA POA guidelines. Queries physicians when appropriate and interacts with Clinical Documentation staff as per account requirements. Maintains consistent coding accuracy rate of 95% or better while also meeting productivity standards. ESSENTIAL DUTIES AND RESPONSIBILITIES: Assigns appropriate ICD-10-CM/PCS codes to inpatient accounts as per designated workflow Abstracts and enters coded data for hospital statistical and reporting requirements Assigns present on admission indicators and discharge dispositions Queries physicians to clarify conflicting, imprecise, incomplete, ambiguous, and/or inconsistent clinical information when appropriate Communicates documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution Communicates with Clinical Documentation Improvement and/or Revenue Cycle teams for follow up and reconciliation of accounts Maintains required productivity and quality requirements Maintains coding credential requirements REQUIRED QUALIFICATIONS: Candidate must possess an approved AHIMA coding credential 5+ years of Inpatient coding in a Level 1 Trauma/Academic Facility Must be proficient in ICD-10-CM and ICD-10-PCS coding Must have experience with TruCode Must have experience with E/M Leveling (For ED Admits)