Job Description

Position Highlights:

The Hospital Inpatient Coder assigns ICD-10 diagnosis and procedure codes and MS-DRG for hospital inpatient services. Applies clinical knowledge of disease processes, physiology, pharmacology, and surgical techniques by reviewing and interpreting all clinical documentation included in an inpatient record. Abstracts data in compliance with national, regional, and local policies. Clarifies physician documentation by utilizing a facility-established query process. Demonstrates knowledge of sequencing diagnoses and procedure codes outlined in the ICD-10-CM Official Coding Guidelines, Uniform Hospital Discharge Data Set, CMS guidelines, and other resources as applicable. May provide education and support to clinical areas regarding appropriate documentation and coding of services to achieve accurate billing.

Responsibilities:

• Coding Encounter
• Key Performance Indicator Requirements
• Constraints of systems
• Query Knowledge
• Perform other duties as assigned 

Credentials and Experience:

• High School Diploma/GED
• Three (3) years in hospital inpatient coding experience with ICD-10 diagnosis, procedure codes and MSDRG.
• Any (one) of the following certifications is required:
  • (CCA) Certified Coding Associate
  • (CCS) Certified Coding Specialist
  • (CPC) Certified Professional Coder
  • (CIC) Certified Inpatient Coder 
  • (RHIT) Registered Health Information Technician
  • (RHIA) Registered Health Information Administrator
  • (CIC) Certified Inpatient Coder
    *Any certification not listed above, but issued from a Governing Body listed below, will be considered by the business
    • AHIMA or AAPC

Minimum Skills/Specialized Training Required

• Thorough understanding of the effect of data quality on prospective payment, utilization, and reimbursement for multiple medical specialties.
• Experience in coding hospital inpatient electronic medical records.
• Excellent communication and interpersonal skills.
• Experience with automated patient care and coding systems.
• Competence with MS Office software.
• Knowledge of American Healthcare Association ("AHA") coding clinic guidelines, ICD10CM and ICD10PCS coding guidelines, Medicare Severity Diagnosis Related Groupers ("MSDRG"), All Patient Refined
• Diagnosis Related Groupers ("APRDRG"), Center for Medicare & Medicaid Services ("CMS") guidelines, National Center for Healthcare Statistics ("NCHS").

Preferred Experience

• Preferred qualifications include:
  • Two (2) years experience with coding oncology-related services

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