Coder-Inpatient
- Eunice, LA, United States
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Job details
- Posting language
- English
- Posted
Original job description
- Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes
- Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations
- Receiving and reviewing patients’ charts and documents for verification and accuracy
- Assures correct MS-DRG assignment on all inpatient records coded by reviewing documentation and querying physician if necessary.
- Collecting information made by the Physician from different sources to prepare monthly reports
- Search for information in cases where the coding is complex or unusual
- Receive and review patient charts and documents for accuracy
- Review the previous day's batch of patient notes for evaluation and coding
- Ensure that all codes are current and active
- Codes and abstracts all in-patient discharge and ambulatory surgery charts within 1.5 Bill Hold days.
- Maintains 98% accuracy rate in coding as determined by review.
- Concurrently codes all inpatient records except OB,
- Assigns correct codes that coincide with physician documentation in the medical record.
- Reviews orders to make sure they coincide with the patient’s stay.
- Assigns correct Present on Admission (POA) and discharge disposition code.
- Codes and abstracts observation records for the purpose of reimbursement, and in compliance with all regulatory guidelines according to ICD-10-CM and/or CPT classification system.
- Works Bill Hold report to assure accounts past sum days (3) are coded in a timely fashion.
- Works edit reports to assure bills are dropping appropriately.
- Assists billers with edits/denials to assure documentation and coding are in line with final bill.
- Reports to the Director any chart being held exceeding 1.5 Bill Hold days.
- Contacts physician for needed reports, i.e., operative reports, discharge summaries when needed to determine coding for patient's stay.
- Contacts physician via written form or phone call for clarification on items unclear in medical record documentation.
- Reviews records for correct admission orders and ensure orders are consistent with service type of the patient, reporting any unresolved issues to the Director immediately.
- Any other duties assigned as needed to help drive our Mission and abide by our organizations values.
More about this job
Skills
- CPT
- Insurance law
- Documentation
- Regulatory compliance
- Reporting