IP Medical Coder

Job Description

• Assigning Medical Codes: Accurately assign ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes to diagnoses and procedures documented in the inpatient medical records.
• Utilize extensive knowledge of Diagnosis Related Groups (DRGs) to assign appropriate codes that reflect the severity and complexity of patient cases.
• Thoroughly review inpatient medical records including physician notes, discharge summaries, and other documentation to abstract relevant information for coding purposes.
• Ensure coding compliance with official coding guidelines, healthcare regulations (such as HIPAA), and organizational policies.
• Collaborate with physicians and other healthcare providers to resolve documentation issues, discrepancies, or ambiguities that could impact coding and billing.
• Maintain accuracy and integrity of coded data for statistical and reimbursement purposes.
• Provide education and training to healthcare providers on coding guidelines, documentation requirements, and compliance standards.
• Proficiently use coding software and electronic health record (EHR) systems to perform coding tasks efficiently.
• Participate in coding audits and quality assurance activities to ensure accuracy and consistency in coding practices.