Coder Abstractor-Inpatient

Responsible for collecting, coding and recording accurate and complete patient care data from inpatient discharges to assure optimum and timely financial reimbursement and statistical reporting. Applies knowledge of specialized information specific to coding and medical terminology commensurate with coding guidelines.

Required Skills/Qualifications/Training/Experience:

• Self-starter with a strong sense of ownership and the ability to work independently on assigned tasks as warranted and appropriate
• Proficiency in technology usage, including 3M encoder.
• Knowledge of anatomy, physiology, and pathology of disease processes and medical terminology.
• Knowledge of ICD-10CM and ICD-10-PCS coding systems, guidelines, and conventions. Familiarity with UHDDS definitions and Coding Clinic.
• Organized, flexible, highly motivated, capable of keeping abreast of constantly changing regulations and guidelines, insurance billing requirements, annual coding updates and internal data needs; general knowledge of medical record department functions, organization of the medical record as a clinical, legal and financial document; ability to interact with co-workers and physicians to resolve MS-DRG, APR-DRG, ICD-10-CM and ICD-10-PCS coding, documentation and work-flow issues.
• Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.

Preferred Skills/Qualifications/Training/Experience:

• Experience with Cerner a plus
• Minimum 2 years coding experience, preferably in an acute care hospital setting.

Educational Requirements:

 Associates required with Bachelor’s Degree preferred. Approved Coding Course completion.

License/Certification:

Credentials: RHIA (Registered Health Information Administrator) or RHIT (Registered Health Information Technician) or Certified Coding Specialist required