Inpatient Coder

About the role

The individual will be responsible for coding all hospital IP records for purposes of reimbursement, research, and compliance with federal regulations. They will apply correct ICD-10CM diagnosis and ICD-10PCS procedure codes, assign appropriate DRG, and abstract statistical data from records into the hospital abstracting system.

Responsibilities

• Applies correct ICD-10CM diagnosis and ICD-10PCS procedure codes and assigns appropriate DRG.
• Abstracts statistical data from records into the hospital abstracting system in accordance with hospital policies and procedures.
• Reviews patient's entire current medical record and assigns appropriate ICD-10-CM diagnosis and ICD-10-PCS procedure codes according to accepted coding guidelines and hospital's policies and procedures.
• Assigns accurate DRG to patient's record utilizing hospital encoding system.
• Accurately abstracts statistical data from records using hospital abstracting system in accordance with hospital policies and procedures.
• Attends hospital sponsored educational programs and department coding meetings.
• Issues queries or sends charts for query to clarify diagnoses in the patient's medical record in compliance with hospital policies and guidelines.
• Participates in and practices lean management principles and processes.
• Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
• Performs compliance requirements as outlined in the Employee Handbook.
• Adheres to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.
• Performs essential job functions in a manner that ensures the safety of patients, visitors and employees.
• Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees.
• Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees.
• Requires use of electronic mail, time and attendance software, learning management software and intranet.
• Adheres to all DCH Health System policies and procedures.
• Performs other duties as assigned.

Requirements

• Associates or bachelor’s degree in Health Information Technology from an AHIMA/CAHIIM accredited school or graduate of an AHIMA accredited medical coding program.
• A minimum of 3 years of experience in an acute care setting.
• Must pass DCH’s coding proficiency assessment for inpatient coders.
• Some encoder experience preferred.
• RHIA, RHIT, CCS preferred.
• Experience working remotely preferred.

Qualifications

• Knowledge of DRG’s and federal and state coding guidelines.
• Ability to work 8 hours quietly at a computer screen and keyboard/mouse.
• Ability to meet deadlines as assigned.
• Ability to withstand pressures of constant deadlines, audits, educational demands and changing healthcare environment.
• Ability to communicate both verbally and in writing on a daily basis.
• Ability to participate in groups.
• Ability to adapt to changes in work area as assigned.
• Willingness to take on responsibilities and challenges.
• Ability to maintain confidentiality.

Skills

• Knowledge of DRG’s and federal and state coding guidelines.
• Ability to work 8 hours quietly at a computer screen and keyboard/mouse.
• Ability to meet deadlines as assigned.
• Ability to withstand pressures of constant deadlines, audits, educational demands and changing healthcare environment.
• Ability to communicate both verbally and in writing on a daily basis.
• Ability to participate in groups.
• Ability to adapt to changes in work area as assigned.
• Willingness to take on responsibilities and challenges.
• Ability to maintain confidentiality.

Benefits

• May offer remote work options.

Pay

• Competitive salary based on experience and qualifications.

Schedule

• Flexible schedule to accommodate work requirements.