Inpatient Coder job description
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What does a Inpatient Coder do?
The Inpatient Coder is crucial for maintaining accurate and efficient coding of patient records for hospital admissions. This role ensures compliance with regulatory standards, supporting hospital reimbursements and facilitating smooth healthcare operations.
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What are the Key Responsibilities of Inpatient Coder
- Assign ICD-10-CM, ICD-10-PCS, and CPT codes to inpatient medical records.
- Verify accuracy of coding based on clinical documentation.
- Review hospital records to ensure proper coding practices.
- Collaborate with healthcare providers for clarification on documentation.
- Adhere to legal and regulatory policies for coding processes.
- Analyze coding errors and execute necessary corrections.
- Maintain confidentiality of patient information.
- Utilize coding guidelines to optimize reimbursements.
What are the Skills and Requirements for a Inpatient Coder?
- Proficient in ICD-10-CM, ICD-10-PCS, and CPT coding systems.
- Strong knowledge of medical terminology and anatomy.
- Attention to detail and accuracy in coding documentation.
- Analytical skills for coding audit and error review.
- Effective communication with clinical staff.
What are the KPIs to track for Inpatient Coder?
The Inpatient Coder's performance is evaluated through accurate and timely coding of inpatient records, compliance with coding standards, minimal coding errors, and contribution to optimal reimbursement processes.
Coding Accuracy
Maintain high accuracy rates in coding assignments.
Compliance
Ensure adherence to all applicable coding regulations.
Efficiency
Complete coding tasks within designated time frames.
Reports to
Coding Manager
Collaborates with
Clinical Documentation Specialists, HIM Professionals
Leads
N/A
Are any specific tools or software required for the Inpatient Coder role?
- 3M Encoder
- Epic Systems
- Cerner EMR
What is the qualification of Inpatient Coder?
Certification as a Certified Coding Specialist (CCS) or Registered Health Information Technician (RHIT) preferred; Experience in inpatient coding for 2 years or more.
