Under direct supervision, the Inpatient Coder is responsible for accurately coding and abstracting inpatient cases and related services from medical record documentation. The role includes assigning diagnoses, procedures, modifiers, and other codes using ICD-CM, ICD-PCS, CPT, and HCPCS, as well as coding Observation, Hospital Ambulatory Surgery, Emergency Department, and complex Hospital Outpatient Visit services when needed.
Work must be performed in accordance with applicable coding rules, regulations, and conventions, including ICD-CM/PCS Official Guidelines, Coding Clinic, CMS requirements, NCCI edits, OSHPD, TJC, and Kaiser Permanente coding policies.
Key responsibilities include reviewing documentation, sequencing diagnoses and procedures, determining appropriate DRGs, abstracting and correcting data for reporting, ensuring compliance and data integrity, and collaborating with physicians to clarify documentation. The role also requires maintaining confidentiality and supporting the security of patient information.
Must reside in Northern California.
- Three years of continuous hospital coding experience within the last five years
- High school diploma or GED
- Completion of coursework in medical terminology, anatomy, physiology, ICD-CM, ICD-PCS, CPT coding conventions, and disease process from an accredited program
- Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA)
- Ability to use a computer keyboard and mouse
- Minimum score of 75% on the KP Inpatient Coding test
- Ability to meet productivity and quality standards
- Strong understanding of anatomy, physiology, medical terminology, disease processes, coding quality, and coding compliance
- Knowledge of reimbursement methodologies and coding guidelines
- Ability to communicate with physicians to clarify diagnoses and procedures
- Must maintain coding credentials and required continuing education units
- Must abide by AHIMA and AAPC code of ethics
Location
California, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
3 weeks ago