Senior Inpatient Coder

Summary

Join our team as an Inpatient Coder and contribute to accurate hospital billing and reimbursement. Under direct supervision, you will accurately code inpatient accounts using ICD-10-CM/PCS coding systems, ensuring compliance with regulations. You will serve as a clinical coding expert, analyzing complex cases and collaborating with medical staff. Responsibilities include monitoring work to meet deadlines, maintaining coding accuracy and productivity rates, and communicating with various departments. You will also collaborate with auditing teams to ensure compliance and adhere to AHIMA ethical coding standards.

Responsibilities

• Serve as a clinical coding subject matter expert, and utilize critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed
• Analyze, code and abstract complex inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment
• Utilize critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed
• Collaborate with other senior coders (and the other coding staff) with sharing coding information and providing coding advice to colleagues regarding complex cases to be coded
• Monitor assigned work on a daily basis in order to facilitate the billing process within the established timeframes
• Code and abstract records within timeframes established for each patient type
• Maintain coding quality accuracy rate of 90%
• Maintain productivity rate of 95%
• Communicate with various departments within the hospitals regarding billing and registration issues
• Refer any problems to management timely, providing clear details
• Compose appropriate coding queries, work collaboratively with CDI, understand Potentially Preventable Complications (PPC’s)/Maryland Hospital Acquired Conditions (MHAC’s), and Prevention Quality Indicators (PQI’s) and their impact
• Communicate with the Auditing team to discuss audit findings and working collaboratively in making sure that all accounts are coded appropriately and meet standards of compliance
• Comply with AHIMA standards of ethical coding and coding compliance guidelines
• Demonstrate support and compliance with University of Maryland Medical System mission, vision, values statement, goals and objectives and policies
• Perform other duties or projects such as coding corrections as assigned by the manager