Coder, Inpatient

Duties and Responsibilities:

• Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding.  

• Submit necessary provider queries to resolve documentation discrepancies.

• Perform quality assessment of records, including verification of medical record documentation.

• Responsible for researching errors or missing documentation from medical records to provide accurate coding processes.  

• Abstracts and assigns the appropriate ICD-10-CM/PCS codes for all diagnoses and procedures performed in the outpatient and inpatient settings as applicable.

Knowledge, Skills, and Abilities:

• Must have inpatient medical and surgical coding experience, including complicated procedures.  

• Must have experience coding for trauma centers and teaching facilities.  

• Must be able to pass a coding assessment.  

• Must be proficient in Microsoft Office, including Excel, Outlook, and Teams.

• Must have the ability to multi-task and excellent communication skills.

• Must maintain a 95% QA accuracy rate and meet production expectations.  

• Must be able to apply official coding guidelines and Coding Clinics.

• Must have experience working in a remote environment.