Medical Coder-Inpatient reviews and codes inpatient medical records and clinical documentation for hospital services. This role requires expertise in ICD-10, CPT, and HCPCS coding systems to assign accurate diagnostic and procedural codes, ensuring compliance with healthcare regulations, payer requirements, and industry standards for reimbursement and billing. Education and Experience Required: High school diploma/GED and two (2) years of medical coding experience. Preferred Qualifications: Associate's degree in health information management or medical coding; Certification from either American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). Knowledge, Skills, and Abilities: Proficient in electronic coding systems and electronic health records. Skilled in using personal computers, Microsoft Office Suite (Excel, PowerPoint, Word, Outlook), and email applications for communication and scheduling. Strong written and verbal communication skills, with the ability to foster team collaboration across departments. Capable of researching and using available resources independently. Experienced in assigning accurate codes using coding guidelines with minimal supervision. Equipped to work remotely, with necessary hardware and high-speed internet for efficient task completion. Responsibilities: Review medical records to identify and code diagnoses and procedures. Assign ICD, CPT, and HCPCS codes accurately. Ensure coding complies with healthcare regulations (e.g., HIPAA, CMS). Collaborate with healthcare providers for accurate documentation. Submit codes for billing and resolve discrepancies. Stay updated on coding changes and best practices. Demonstrate effective communication and response using systems available to both the medical coder and management through telephone and email communication. Demonstrate effective use of required EHR software. The duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive.
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