Inpatient Coder

Codes and abstracts inpatient and outpatient accounts as needed. Supports the flow of medical records between coding and analysis teams and assists with outpatient abstracting when required.

Responsibilities include:

• Review medical records to assign accurate ICD-10-CM diagnosis codes, including principal and secondary diagnoses.
• Assign ICD-10-PCS procedure codes as applicable.
• Assign CPT-4 procedure codes as applicable.
• Abstract and enter information accurately in U.D.S. and Paragon.
• Assist abstractors with entry accuracy and correct inpatient abstracting errors.
• Evaluate selected DRGs to ensure appropriate cc capture when applicable.
• Maintain professional communication with physicians and clarify coding or clinical issues as needed.
• Participate in coding audits and PI monitoring to support coding quality and abstracting accuracy.
• Work with the Coding Manager and coding team to track, trend, and address data issues.
• Use computer systems efficiently, including U.D.S. and Paragon.