Certified Inpatient/Outpatient Coder

Primary responsibility is the assignment of ICD-10 and CPT codes for all inpatient discharges and outpatient records in a timely and accurate manner.

Duties & Responsibilities

• Accurately assign ICD-10 diagnosis and procedural codes on all inpatient discharges and outpatient records using the 3M Code-finder in a timely manner.
• Ensure patient information is correctly abstracted in the CPSI information system within seven days of patient discharge.
• Enter and sequence ICD-10-CM diagnosis and procedure codes properly.
• Correctly indicate procedure dates and procedural physician with the procedure code.
• Calculate DRGs for all Medicare inpatient discharges.
• Verify discharge disposition reflects the physician discharge order on the medical record.
• Confirm admission type code is correct.
• Ensure service is correct.
• Enter physicians correctly, listing the attending physician first and subsequent physicians after.
• Assemble charts and deficiencies according to hospital guidelines.
• Assist others as needed or as directed by the Medical Records Director.
• Keep the Medical Records Director informed of any problems or concerns that delay or compromise the coding process.

Working Conditions

• Work is performed in a well-lighted, well-ventilated, air-conditioned, and heated office.
• Minimal exposure to bloodborne pathogens, body fluids, or potentially infectious material.
• Prolonged sitting with light physical work.
• Requires ability to hear, communicate, and maintain good visual acuity.
• Minimal lifting requirements up to 25 pounds.
• Must have good use of upper extremities.