Coder, Inpatient
Description
Duties and Responsibilities
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Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding.
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Submit necessary provider queries to resolve documentation discrepancies.
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Perform quality assessment of records, including verification of medical record documentation.
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Responsible for researching errors or missing documentation from medical records to provide accurate coding processes.
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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
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Must have inpatient medical and surgical coding experience, including complicated procedures.
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Must have experience coding for trauma centers and teaching facilities.
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Must be able to pass a coding assessment.
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Must be proficient in Microsoft Office, including Excel, Outlook, and Teams.
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Must have the ability to multi-task and excellent communication skills.
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Must maintain a 95% QA accuracy rate and meet production expectations.
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Must be able to apply official coding guidelines and Coding Clinics.
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Must have experience working in a remote environment.