Coder-Inpatient

Coder-Inpatient

JOB RESPONSIBILITY

1. Perform Inpatient Medical Record Coding.

1. Identify significant diagnoses and procedures and determine the principal diagnosis and procedure for each hospitalization accu­rately 95‑100% of the time to meet standard; 94% or less is below standard as documented by quality assurance activities.

1. Assign correct classification codes for identified diagnoses and procedures accurately - 95‑100% of the time to meet standard; 94% or less is below standard, as documented by quality assurance activities.

3. Sequence all procedures performed according to the established AHIMA guidelines.

4. Code all inpatient medical records as documented on the daily worklists. Work task desktop maintain AR daily productivity.

Standard:

1. Code all IP records with a minimum of 2 charts per hour. The goal is to code within 4 -7 days from discharge date.

1. Employee shall maintain ongoing continuing education and training as available. This will include seminars, literature, and discussion of issues that relate to the coding specialty. Employee must follow all coding guidelines and AHIMA’s Code of Ethics