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Inpatient Coders review and assigns the correct ICD-9-CM codes based on documentation in the patients chart.
Write queries if needed for clarification of assigning the correct codes that impact the DRG.
Inpatient coders are required to have knowledge of the AMA Coding Clinics, Continuing education in coding/HIM specialty, understanding the official Inpatient coding guidelines established by UHDDS/AMA and CMS.
Inpatients are required to maintain a 95% coding accuracy.
Inpatient team members are require to code 25-30 charts daily to meet the standard productivity.
Reviews/Codes and communicates discrepancies with documentation/charging for interventional Radiology cases to Radiology department.
Assist with review/charge corrections to dialysis, Room & Board accounts.
Assist Coding Manager with reviews for potential denials with RAC/Insurance audit and/or other external coding audits and helps to draft responses to appeals.
Also on subcommittee for charge master and Revenue Cycle team which provides input on process improvements, correct coding/charging and medical necessity requirements