Obtain and document insurance eligibility, benefits, and prior authorizations for scheduled and unscheduled services, coordinating with payers, patients, providers, and clinical teams. Monitor authorization requirements and account accuracy, advise patients and providers about coverage or authorization issues, and escalate cases that may affect care or reimbursement.
The Inpatient Medical Coder accurately assigns ICD-10 diagnostic and procedural codes to hospital records to ensure proper reimbursement and regulatory compliance. They also collaborate with clinical staff and documentation specialists to resolve coding queries and maintain high accuracy standards.
The job posting does not specify core responsibilities. It primarily focuses on benefits and the application process.
