Inpatient Coder II
Core
Analyze medical records to assign ICD-10-CM/PCS codes and DRG assignments for optimal reimbursement in compliance with state and federal guidelines.
Role type
Inpatient medical coder (acute care)
Builds
Diagnosis-related group (DRG) assignments and coded patient accounts
Domain
Healthcare / Medical Coding
Required skills
ICD-10-CM/PCS coding, DRG assignment, medical terminology, anatomy and physiology, pathophysiology, laboratory medicine, electronic medical record (EMR) navigation, encoder usage
Preferred skills
Health Information Management Services (HIMS) program graduate
Technologies
3M 360, EPIC
Responsibilities
Assign ICD-10-CM/PCS codes and sequence diagnoses/procedures; Communicate with CDI team on mismatches and request provider clarification; Query physicians for inadequate or ambiguous documentation; Maintain four-day turnaround times for inpatient coding; Review audited cases and provide rebuttals; Participate in coding policy development
Seniority
Mid-level, hands-on IC