Coder, Inpatient

Job summary

Apply coding classification standards to medical records and assign appropriate ICD-10-CM/PCS codes for diagnoses and procedures. Perform quality assessments and submit provider queries to resolve documentation discrepancies.

Job details

Duties and Responsibilities: Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding. Submit necessary provider queries to resolve documentation discrepancies. Perform quality assessment of records, including verification of medical record documentation. Responsible for researching errors or missing documentation from medical records to provide accurate coding processes. Abstracts and assigns the appropriate ICD-10-CM/PCS codes for all diagnoses and procedures performed in the outpatient and inpatient settings as applicable. Knowledge, Skills, and Abilities: Must have inpatient medical and surgical coding experience, including complicated procedures. Must have experience coding for trauma centers and teaching facilities. Must be able to pass a coding assessment. Must be proficient in Microsoft Office, including Excel, Outlook, and Teams. Must have the ability to multi-task and excellent communication skills. Must maintain a 95% QA accuracy rate and meet production expectations. Must be able to apply official coding guidelines and Coding Clinics. Must have experience working in a remote environment.

What you’ll do

Apply coding classification standards to medical records and assign appropriate ICD-10-CM/PCS codes for diagnoses and procedures. Perform quality assessments and submit provider queries to resolve documentation discrepancies.

Requirements

Requires inpatient medical and surgical coding experience, specifically within trauma centers and teaching facilities. Proficiency in Microsoft Office and the ability to maintain a 95% QA accuracy rate are mandatory.

Listed skills

• Microsoft Teams · Preferred
• Microsoft Excel · Preferred
• Multi-Tasking · Preferred
• Communication Skills · Preferred
• Microsoft Outlook · Preferred

Other relevant skills

Identified from the job description. Confirm important requirements above.

• ICD-10-CM
• ICD-10-PCS
• Medical Coding
• Inpatient Coding
• Outpatient Coding
• Medical Record Documentation
• Quality Assessment
• Microsoft Excel
• Microsoft Outlook
• Microsoft Teams
• Communication Skills
• Multi-tasking

Job areas

• Healthcare
• Administrative