Inpatient Coder
Insight Global is seeking an Inpatient Coder to support a large healthcare system based out of Annapolis, MD. The Inpatient Medical Coder under the supervision of the Manager of Coding and Data Quality accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics, and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems.
Essential Job Duties:
- Analyzes inpatient cases, identifies and assigns ICD-10 diagnostic and PCS procedural codes for the purpose of reimbursement, research, and compliance with federal and state regulations.
- Demonstrates comprehensive knowledge of coding nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment.
- Utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed.
- Monitors assigned work on a daily basis in order to facilitate the billing process within the established timeframes.
- Codes and abstracts records within timeframes established for each patient type.
- Maintain a high level of accuracy in code assignment to prevent claim denials, billing errors, and potential legal issues.
- Review medical records, including patient histories, examination findings, diagnoses, and treatment plans, to extract pertinent information for code assignment.
- Communicates with various departments within the hospitals regarding billing and registration issues.
- Refers any problems to management timely, providing clear details.
- Complies with AHIMA standards of ethical coding and coding compliance guidelines, including adherence to HIPAA privacy regulations.
- Utilizes coding references, software tools, and electronic health records (EHR) to facilitate accurate and efficient code assignment.
- Participate in ongoing education, training, and certification programs to enhance coding proficiency and maintain credentials.
- Demonstrates support and compliance with Luminis Health Medical System mission, vision, values statement, goals, and objectives and policies.
- Performs other duties or projects such as coding corrections as assigned by the manager.