Inpatient Coder

Job Description

The Department of Health Information Management at SUNY Downstate Health Sciences University is seeking a full-time Inpatient Coder. Reporting to the Coding Manager and to the Director of the Health Information Management, the successful candidate will:

• Abstract clinical information from the medical record and assign appropriate ICD-10cm and ICD-10
  
  PCS or CPT codes according to established procedures.
• Maintain optimal standard of coding and assume uniformity of coding for compliance and reimbursement.
• Ensure the selection of accurate and descriptive codes from the appropriate classification system.
• Ensure the confidentiality of data contained on the patients’ medical records.
• Analyze the information contained in the medical record to ensure that the most appropriate codes are used.
• Query the physicians for appropriate documentation.
• Work collaboratively with all department and hospital staff.
• Perform other related duties as assigned.

• RHIA or RHIT or CCS coding certification.
• 1+ year in a supervisory/administrator capacity.
• Ability to make coding decisions based on use of established coding guidelines.
• Ability to work independently and be a self-starter.

• Bachelor of Science Degree with related Health Information Management experience, and 3-5 years direct coding experience in an acute care setting preferred.