Inpatient coder

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Inpatient coder

Job Overview

Inpatient coder

Overview:

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The Inpatient Coder 2 performs activities involving moderate level inpatient coding of medical records as a mechanism for indexing clinical information used for research, utilization, appropriateness of care, compilation of statistics for hospital, regional and government reporting, and accurate reimbursement. This level of coding is expected to completely code cases of moderate complexity with lengths of stay greater than six days and continue to challenge themselves to code more complex cases with longer lengths of stay. They also support the department through a variety of project work and support the department through a variety of project work.

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Coding Expectations - Coders are expected to perform coding functions within departmental guidelines . Departmental guidelines include productivity expectations, goals, accurate use of coding statuses, work queues, stop bills and communication and relationship building with the Clinical Documentation Improvement department.

Quality - Coders are expected to maintain a minimum quality score of 95% in in all aspects of their coding including diagnosis code, procedure code, discharge disposition and POA status selection. Coders are evaluated by both, internal audits and third party external audits.

Professional Development/Education - Coders are required to support the educational needs of the department and remain current with coding guidelines, ICD10 updates, regulatory changes, etc. They are also expected to collaborate closely with the CDI department in resolving coding questions or concerns. This can be demonstrated through active staff mentoring, promoting educational activities, participating in staff meetings, preparing and delivering group presentations, etc. 

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