Hospital Inpatient Coder

Job Description

The Hospital Inpatient Coder is a full-time, direct-hire opportunity.

Responsibilities:

Assign ICD10-CM and PCS codes to hospital inpatient visits.

Reviews and analyzes the content of medical records and the CAC for the appropriate assignment of ICD diagnosis/procedure codes, present on admission indicators, hierarchical condition categories, complication and comorbidities in the proper sequence in accordance with official coding resources resulting in an accurate DRG assignment.

Meets 95% accuracy rate in audits

Maintains productivity of 2.75 charts per hour after release from training period.

Data Analysis- Hospital Inpatient Coding

Reviews and analyzes the content of medical records and the autosuggested computer assisted codes (CAC) for the appropriate assignment of ICD diagnosis/procedure codes, present on admission indicators, hierarchical condition categories, complication and comorbidities in the proper sequence in accordance with official coding resources resulting in an accurate DRG assignment.

Specialized Audit: Auditing the accuracy of the CAC software autosuggested codes.

Clinical Documentation Analysis 5: Reviews clinical documentation to validate accurate representation of the patient's clinical picture, treatment, and diagnoses. Identifies when documentation relevant to the coding process is missing, lacks specificity or is inconsistent and take steps to obtain the documentation.

Abstracting Data: Identifies and enters data elements for abstracting.

Full-time