Inpatient Hospital Coding Specialist II

To ensure accurate and appropriate gathering of information into coding classification systems to meet departmental, hospital, and outside agency requirements. This role supports appropriate reimbursement, compliance, and charging in accordance with coding guidelines and regulatory agency standards. The position is responsible for obtaining accurate and complete documentation in the medical record for proper coding assignment and coding moderately complex patient classes such as ED, observation, and same-day care.

Core responsibilities

• Review and accurately interpret medical record documentation from hospital accounts to identify diagnoses and procedures affecting the current encounter.
• Assign appropriate ICD-10, CPT, and modifier codes for identified diagnoses and procedures.
• Code moderately complex patient classes, including ED, OBS, and SDC.
• Ensure quality, timely coding, charging, and abstraction of accounts for assigned specialty areas.
• Maintain current coding knowledge through quality review, clinical in-services, coding seminars, internal meetings, reference materials, and coding manual updates.
• Verify accuracy, quality, and timely review of data needed to obtain a clean bill.
• Contact physicians and other personnel as needed to obtain information required for accurate coding assignment and to support the billing process.
• Work collaboratively with other offices to facilitate billing and coding workflows.