Open Roles in the Inpatient Team:

Inpatient Coder (Complex, Low Acuity, Simple)

Inpatient Quality Auditor

Inpatient Coding Supervisor

Inpatient Coding Educator

The Inpatient Medical Coding team is responsible for assigning diagnosis and procedure codes to the following patient types using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations.

Low acuity inpatient (OB/NB, acute psych, 1-day stays)
Inpatient rehab
Acute psych, including gero-psych

Duties also include resolving coding edits. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record. Responds to audits and makes necessary changes to coding of accounts based on agreed findings.

Responsibilities:

Coding: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA).
Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition.
Coding Quality: Accurately codes and abstracts clinical information from the medical record, in accordance with established coding quality guidelines.
Professional Development: Stays current with CMS Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and ICD-10-PCS coding. Attends mandatory coding seminars on annual basis for inpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls.
Communicates and resolves coding issues (lacking documentation, physician queries, missing documentation, second level review, etc.) for timely and appropriate follow-up and resolution.

Join our Inpatient Medical Coding team!

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