Inpatient Coder 2

About the Role

This position is responsible for reviewing clinical documentation in inpatient medical records to accurately assign and sequence ICD-9 diagnostic and ICD-9 procedure codes for complex cases, ensuring proper reimbursement and data collection.

Responsibilities

• Code complex inpatient cases using ICD-9 and/or ICD-10 code sets, including trauma, transplant, neurosurgery, cardiovascular surgery, burn unit, and other assigned medical records.
• Ensure accurate MS-DRG or APR-DRG assignment for appropriate reimbursement.
• Code all accounts within 4 days of patient discharge, meeting productivity standards per AHIMA Guidelines.
• Verify patient information to identify discrepancies and ensure codes are applied to the correct patient encounter.
• Act as a quality reviewer to identify misfiled documents or discrepancies in patient records.
• Apply appropriate modifiers to reflect care rendered accurately.
• Query physicians for additional information when documentation is unclear, following Coding Guidelines and Coding Clinics.
• Ensure codes reflect care rendered to support patient safety, accurate data retrieval, and proper reimbursement.
• Report unusual circumstances or risk factors to the Coding Associate Administrator or Coding Director.
• Maintain continuing education requirements per AHIMA and/or AAPC to uphold certification and competency.
• Participate in ICD-10-CM-PCS education sessions provided by Jackson Health System or approved external entities.
• Adhere to Standards of Excellence, respecting patient rights, privacy, and confidentiality per HIPAA and applicable laws.
• Demonstrate service excellence and CARE values (Compassion, Accountability, Respect, and Expertise).
• Perform other related duties as assigned.

Requirements

• 3 to 5 years of related experience.
• High school diploma required.
• HIM/Coding Credential and/or Certification by AHIMA or AAPC (required for employees hired after June 2015).

Skills

• Ability to analyze, organize, and prioritize work accurately while meeting multiple deadlines.
• Strong oral and written communication skills.
• Professional composure and critical thinking in difficult or stressful situations.
• Ability to follow instructions and exercise independent judgment.
• Proficiency in job-appropriate technology and software applications.