What are the responsibilities and job description for the Coder Inpatient position at OMH HealthEdge Holdings?
We are seeking a detail-oriented and experienced Inpatient coder to join our team. The coder must have three years of post-certification experience, some CAC experience, and Cerner Power Chart experience.
Essential Job Functions
- Responsible for abstracting, coding, sequencing, and interpreting clinical information from inpatient, outpatient, emergency department, pro-fee, and clinical medical records.
- Responsible for assigning correct principal diagnoses, secondary diagnoses, and principal procedure and secondary procedure codes with attention to accurate sequencing.
- Utilizes technical coding principles and DRG/APC reimbursement expertise to assign appropriate codes.
- Abstracts and codes pertinent medical data into multiple software programs and/or encoders. Follows official coding guidelines to review and analyze health records.
- Maintains compliance with external regulatory and accreditation requirements as well as state and federal regulations.
- Extract pertinent data from the patient’s health record and determine appropriate coding for reports and billing documents.
- Identifies codes for reporting medical services and procedures performed by physicians. Enters codes into various computer systems, depending on the various clients.
- Track and document productivity in specified systems and maintain productivity levels as defined by the client.
- Maintain a 95% quality rating.
- Perform duties in compliance with the Company’s policies and procedures, including but not limited to those related to HIPAA and compliance.
