Memorial Health System

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Certified Inpatient Coder - Coding

at Memorial Health System

Posted: 9/27/2019
Job Status: Full Time
Job Reference #: 107811
Keywords: medical

Job Description


Full Time -80 hours



In an environment of continuous quality improvement, the Certified Inpatient Coder is responsible for performing research based on physician documentation the diagnosis for inpatient and codes appropriately using ICD10 and CPT coding guidelines. Exhibits the MHS Standards of Excellence and exercises strict confidentiality at all times.

Job Requirements:

· Certification of coding will be required at hire which includes RHIT, CCA, CCS, CPC, COC, CIC, CPC-P, CEMC, CEDC, CEMA

· Knowledge of coding regulations, CPT, ICD-10-CM, and HCPCS

· CCI edits, LMRP, computer knowledge (Windows Based), and must be able to communicate written and orally with physicians

Job Functions:

1. Assigns codes for diagnosis, treatments, and procedures according to the appropriate classification for inpatient encounters and SDC's and maintaining quality standards.

2. Reviews appropriate provider documentation to determine principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures and assigns the highest level of specificity APC or DRG group.

3. Codes charts within an appropriate number of charts per hour.

4. Coordinates completion of A/R report with CDI staff and providers.

5. Remain informed about coding issues to comply with federal regulations.

6. Complies with all legal requirements regarding coding procedures and practices

7. Complies with the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official guidelines.

8. Maintains 95% accuracy in coding and abstracting.

9. Utilizes time effectively. Consistently codes and abstracts at minimum productivity standards while ensuring accuracy of coding.

10. Ensures diagnostic and procedure codes are assigned accurately to inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines.

11. Primarily codes inpatient coding and will occasionally fill in to code SDC, Outpatient, Ancillary or E/M coding as assigned.

12. Responds promptly to internal and external customer coding/DRG requests. Responds promptly to Business Office requests to code or review coded accounts for accuracy.

13. Maintains and achieves the highest standards of coding quality by assigning accurate ICD-9-CM/ICD-10-CM/ICD-10-PCS and CPT codes utilizing an electronic encoder application in accordance with hospital policy and regulatory body guidelines. (EF)

14. Performs accurate, optimal DRG assignment, in accordance with nationally established rules and guidelines based upon documentation within the medical record.

15. Reviews discharge disposition entered by nursing and corrects if necessary in order to achieve the highest quality of entered data.

16. Assumes all other duties and responsibilities as necessary.