Certified Inpatient Coder

The Certified Coder plays a key role in converting diagnoses and treatment procedures into ICD-10, CPT, and HCPCS codes. This role reviews and accurately codes office and hospital procedures for reimbursement.

Essential Functions

• Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
• Researches and analyzes data needs for reimbursement.
• Analyzes medical records and identifies documentation deficiencies.
• Serves as a resource and subject matter expert to other coding staff.
• Reviews and verifies that documentation supports diagnoses, procedures, and treatment results.
• Identifies diagnostic and procedural information.
• Audits clinical documentation and coded data to validate that documentation supports services rendered for reimbursement and reporting purposes.
• Assigns codes for reimbursement, research, and compliance with regulatory requirements using applicable guidelines.
• Follows coding conventions and serves as a coding consultant to care providers.
• Identifies discrepancies, potential quality of care issues, and billing issues.
• Researches, analyzes, recommends, and facilitates plans of action to correct discrepancies and prevent future coding errors.
• Identifies reportable elements, complications, and other procedures.
• Assists the lead or supervisor in orienting, training, and mentoring staff.
• Maintains patient and employee privacy and confidentiality.
• Maintains coding credentials and continuing education to stay current on coding guidelines and changes.
• Maintains regular and predictable attendance.
• Supports the Medical Center's mission, vision, and philosophy.
• Handles special projects as requested.