Senior Inpatient Coder/Abstractor

Job Summary

The Senior Inpatient Coder is responsible for accurately assigning diagnosis and procedure codes to inpatient discharges at larger McLeod Health facilities, representing more complex medical and surgical encounters.

Work Schedule

80 hours bi-weekly.

Responsibilities

• Keep current on coding developments by attending coding classes, reading coding update articles, and participating in seminars when available.
• Assign inpatient diagnosis and procedure codes accurately, including principal diagnosis, co-morbidities and complications, secondary diagnoses, present on admission indicators, discharge disposition, hospital acquired conditions, principal procedure, and secondary procedures.
• Apply coding guidelines to encounters with longer lengths of stay, complex medical diagnoses, and extensive surgical procedures.
• Code across service lines including cardiac, neurosurgery, orthopedic, pediatric, trauma, and vascular cases.
• Query physicians when documentation in the medical record is unclear.
• Work closely with Clinical Documentation Specialists to support optimal DRG assignment.
• Maintain department productivity standards with a 95% accuracy rate.
• Perform other duties as assigned.