Senior Inpatient Coder

Key Responsibilities:

• Evaluates health record documentation and accurate reimbursement by ensuring that ICD-10-CM diagnostic and PCS procedural codes accurately reflect and support the inpatient hospital admission

• Identifies documentation clarification opportunities to ensure that documentation supports the coding and DRG assignment. Initiates coding queries and provides feedback to clinicians

• Reviews Local Coverage Determination (LCD)/National Coverage Determination (NCD) policies for ICD-10-CM diagnoses that support medical necessity for services provided

• Works with the coding denials team for education and assists with DRG denial prevention solutions

• Ensures inpatient accounts are coded accurately and in a timely manner

• Consistently maintains coding quality (95% accuracy) and productivity expectations

• Assists with the training of inpatient coders

• Performs related duties as required

Educational Requirements:

• Successful completion of a coding program, which included coursework in ICD-10-CM/PCS, medical terminology, anatomy and physiology and disease processes

Required Qualifications:

• Two (2) years of hospital inpatient/DRG coding experience

Preferred Qualifications:

• Epic experience

• 3M Encoder experience

• Computer Assisted Coding experience

Certification/Licensure Requirements:

• Current certification with American Health Information Management Association (AHIMA) or AAPC and credentialed as Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), and/or Certified Inpatient Coder (CIC)