Coder Inpatient, Marshall Medical Center South, HIM

The following statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements, which may be inherent in the position.

An inpatient coder is responsible for utilizing coding policies and procedures in evaluating the diagnostic and procedural information within the medical record for determination of accurate DRG or APC assignment for reimbursement of services rendered and for verifying/abstracting clinical information into the organization's health database.

An inpatient coder functions under the direct authority and supervision of the Coding Supervisor and Director of the Health Information Management Department.

Some of the many skills performed

• Coding of diagnoses and procedures for:
  • Inpatients
  • Observation
  • Other Outpatient Service Types, if appropriate

EDUCATION:

• High school graduate or equivalent
• 2 years or more in Health Information Management
• 1-2 years’ experience in inpatient coding

LICENSURE/CERTIFICATION:

• RHIA, RHIT, or CCS certification preferred
• Certification must be obtained within one (1) year of employment