About this role

Assigns appropriate codes to reflect all diagnoses and procedures during a patient encounter
Abstracts required data to input into the Medical Center's computerized data base
Converts all patient visits into appropriate DRG assignments for optimal reimbursement
Assists the IP Coding Manager in administrative duties
Reviews patient medical records and abstracts medical data that identifies all diagnoses and procedures
Codes diagnoses, procedures, and appropriate modifiers from the medical record documentation using ICD-10-CM/PCS
Consults with CDCI team to clarify medical record information
Ensures coding accuracy rate of 95% or better
Coordinates with HIM to track missing provider documentation
Maintains professional skills through attendance at in-service programs, conferences, and workshops

Minimum of five years inpatient coding experience in a Level 1 Trauma, Teaching Facility
Requires inpatient CCS, RHIT or RHIA credentials from AHIMA
Knowledge of medical terminology, ICD-10-CM/PCS and CPT-4 Coding conventions
Basic concepts of human anatomy, physiology and pathology
Experience with ICD-10-CM/PCS for diagnoses and procedures
Strong knowledge of health records, computer systems, Microsoft applications, data integrity, and processing techniques
Excellent organizational skills, including ability to multi-task, prioritize essential tasks, and follow-through
Ability to work with accuracy and attention to detail
Ability to solve problems appropriately using job knowledge and current policies/procedures
Must be able to maintain strict confidentiality of all personal/health sensitive information and ensure compliance of HIPAA rules and regulations
Solid communication skills, both oral and written.

Inpatient Lead Coder

Key skills