Inpatient Coder

DESCRIPTION OF POSITION This job description is a record of the essential functions of the listed job. The job description provides the employee, CEO, Human Resources, applicants, and other agencies with a clear understanding of the job, where it fits into the organization, and the skill and work requirements in relation to other jobs. Jobs are always changing to some degree and the existence of the approved job description is not intended to limit normal change and growth.

The facility will make reasonable accommodations to otherwise qualified individuals who are capable of performing the essential functions of the job with or without reasonable accommodation. POPULATION SERVED The position involves no direct patient care for a population of patients ages 18 and older. Age specific experience and/or special training and/or expertise are not required.

POSITION SUMMARY

The Inpatient Coder is responsible for admissions, concurrent and discharge coding; assembling of medical records; analyzing records (flagging deficiencies). The Inpatient Coder must thoroughly review all patient medical charts in an effort to ensure accuracy of information. POSITION QUALIFICATIONS The position requires a minimum of a High School Diploma, an Associate’s Degree preferred, Certified Coding Associate (CCA) or Certified Coding Specialist (CCS) certificates preferred and a minimum of one (1) year of experience in Long Term Acute Care Coding and Medical Records Preferred.

Good interpersonal skills are very important.

DUTIES AND RESPONSIBILITIES

• Reviews and codes inpatient and/or outpatient medical information Compiles statistics and prepares/maintains a variety of records and reports; finalizes attending physicians’ attestations and obtains signatures; researches and locates missing data and records needed for coding and abstracting.
• Retrieve patient records for doctors and nurses for future diagnosis and treatment.
• Keep track of medical records to document improvement or deterioration in condition.
• Processes the admission and discharge paperwork.
• Serve as liaisons between the provider and the billing office.
• May perform additional administrative duties and other duties as assigned by supervisor.