Inpatient Coder / Abstractor

City / State

Norfolk, VA

Work Shift

First (Days)

Overview :

Inpatient Coder Abstractor

Codes inpatient accounts applying appropriate ICD-10-CM / ICD-10-PCS / CPT-4 codes for hospital reimbursement, mortality & morbidity outcomes, research & statistical and regulatory compliance. Abstracts, codes and assigns necessary demographic and clinical data elements required for inpatient records.

Effectively utilizes encoder software to assure appropriate reimbursement and accurate DRG & MSDRG assignment. Completes all work in accordance with defined productivity and quality standards. As necessary, consults or queries the physician for additional information or clarification of diagnoses, co-morbid / secondary conditions, and procedures.

Provides physicians education on coding, documentation and medical necessity requirements. Assures optimal ethical reimbursement for coded encounters and assures coding practices fall within established compliance guidelines. Uses concurrent documentation database to accurately reflect queries and updates to DRG cases. Must work collaboratively with Nursing Staff on Concurrent Documentation Improvement Team for severity levels within coding guidelines. Performs other related duties as requested by HIM management.

Educational coursework in anatomy, physiology, and current coding practices required. CCS or CIC required within 1 year of hire

Education

• High School Diploma or Equivalent

Certification / Licensure

Experience

Benefits : Caring For Your Family and Your Career

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission "to improve health every day," this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states :

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.