Inpatient Coder

Qualifications

• One of the following certifications is required: CCS, CCS-P, CPC, CPC-H, CMC, RHIT, RHIA, CPC-A, or a specialty coding certification.
• Associate degree in Health Information Management may be accepted, with RHIT exam required within 1 year of hire.
• At least 2 years of progressive coding experience in a hospital or multi-specialty physician practice setting preferred.
• Full CPC certification must be obtained within 24 months if hired with CPC-A.
• For HOMECARE roles, HCS-D certification is required within 16 months of hire.

Responsibilities

• Perform detailed review of inpatient record documentation to assign diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS.
• Meet departmental productivity guidelines with 95% accuracy.
• Use Care Connect, UDS, and Clintegrity systems to obtain ICD-10 codes and DRG assignment.
• Formulate compliant physician coding queries when documentation is unclear or incomplete.
• Update POA indicators, Point of Origin, Discharge Disposition, and other required data fields.
• Manage workflow edits and technical issues related to coding AR days.
• Correct failed claim errors, misclassified accounts, and audit findings in a timely manner.
• Attend coding team meetings and training sessions.
• Provide assistance to physicians and clinical quality staff regarding documentation opportunities and reimbursement issues.
• Abide by AHIMA Standards of Ethical Coding and comply with organizational policies and official coding guidelines.