<p class="MsoNormal"><strong><span style="font-size: 10.0pt; font-family: 'Arial',sans-serif; color: black;">Position Objective:</span></strong></p><p class="MsoNormal"> </p><p class="MsoNormal"><span style="font-size: 10.0pt; font-family: 'Arial',sans-serif; color: black;">The Inpatient Medical Coder under the supervision of the Manager of Coding and Data Quality</span> <span style="font-size: 10.0pt; font-family: 'Arial',sans-serif; color: black;">accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with</span><span style="font-size: 10.0pt; font-family: 'Arial',sans-serif; color: black;"> established ICD-10-CM/PCS coding classification systems.</span></p><p class="MsoNormal"><strong><span style="font-size: 10.0pt; font-family: 'Arial',sans-serif; color: black;">Essential Job Duties:</span></strong></p><p class="MsoNormal"><span style="font-size: 10.0pt; font-family: 'Arial',sans-serif; color: black;">The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.</span></p><p class="MsoListParagraph"><span style="font-size: 10.0pt; font-family: 'Arial',sans-serif; color: black;">1.<span style="font-style: normal; font-size: 7pt; line-height: normal; font-family: 'Times New Roman';"> </span></span><span style="font-size: 10.0pt; font-family: 'Arial',sans-serif; color: black;">Analyzes inpatient cases, identifies and assigns ICD-10 diagnostic and PCS procedural codes for the purpose of reimbursement, research and compliance with federal and state regulations. Demonstrates comprehensive knowledge of coding nomenclature to ensure accurate MS-DRG MCC/CC and APR-DRG/SOI/ROM and POA assignments</span><span style="font-size: 10.0pt; font-family: 'Arial',sans-serif; color: black;">.</span></p><ol><li class="MsoNormal" style="color: black; line-height: normal;"><span style="font-size: 10.0pt; font-family: 'Arial',sans-serif;">Utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. Sends coding queries to providers and communicates with CDIS’ when provider queries are clinical in nature.</span></li><li class="MsoNormal" style="color: black; line-height: normal;"><span style="font-size: 10.0pt; font-family: 'Arial',sans-serif;">Monitors assigned work on a daily basis</span><span style="font-size: 10pt; font-family: Arial, sans-serif;"> in order to facilitate the billing process within the established timeframes within work queues. Codes and abstracts</span><span style="font-size: 10.0pt; font-family: 'Arial',sans-serif;"> records</span><span style="font-size: 10pt; font-family: Arial, sans-serif;"> within timeframes established</span><span style="font-size: 10.0pt; font-family: 'Arial',sans-serif;"> for each patient type.</span></li><li class="MsoNormal" style="color: black; line-height: normal;"><span style="font-size: 10pt; font-family: Arial, sans-serif;">Maintain a high level of accuracy in code assignments</span><span style="font-size: 10.0pt; font-family: 'Arial',sans-serif;"> to prevent claim den</span><span style="font-size: 10pt; font-family: Arial, sans-serif;">ials, billing errors, and potential legal issues. Receives routine feedback on metrics.</span></li><li class="MsoNormal" style="color: black; line-height: normal;"><span style="font-size: 10.0pt; font-family: 'Arial',sans-serif;">Review medical records, including patient histories, examination findings, diagnoses, and treatment plans, to extract pertinent information for code assignments.</span></li><li class="MsoNormal" style="color: black; line-height: normal;"><span style="font-size: 10pt; font-family: Arial, sans-serif;">Communicates with various departments within the hospitals regarding billing and registration issues. Refers any problems to management timely</span><span style="font-size: 10.0pt; font-family: 'Arial',sans-serif;">, providing clear details.</span></li><li class="MsoNormal" style="color: black; line-height: normal;"><span style="font-size: 10pt; font-family: Arial, sans-serif;">Complies with</span><span style="font-size: 10.0pt; font-family: 'Arial',sans-serif;"> AHIMA standards of ethical coding and coding compliance guidelines, including adherence to HIPAA (Health Insurance Portability and Accountability Act) privacy regulations.</span></li><li class="MsoNormal" style="color: black; line-height: normal;"><span style="font-size: 10.0pt; font-family: 'Arial',sans-serif;">Utilizes coding</span><span style="font-size: 10pt; font-family: Arial, sans-serif;"> references, software tools, and electronic health records (EHR) to facilitate accurate and efficient code assignments</span><span style="font-size: 10.0pt; font-family: 'Arial',sans-serif;">.</span></li><li class="MsoNormal" style="color: black; line-height: normal;"><span style="font-size: 10pt; font-family: Arial, sans-serif;">Participate in ongoing education, training, and certification programs to enhance coding proficiency and maintain</span><span style="font-size: 10.0pt; font-family: 'Arial',sans-serif;"> credentials. Participates in bi-monthly meetings related to DRG mismatch