Job Description

HIM Coder 2 - Inpatient Coding-(250003VM)

Description

Under the general supervision of Manager and direct supervision of Supervisor, following established policies, procedures and professional guidelines, the Coder 2 will:
  • Perform a thorough review of medical record documentation to accurately assign diagnosis and procedure codes.
  • Utilize the encoder system to sequence the codes assigned and calculate the corresponding MS-DRG/APR DRG/APC grouper.
  • Abstract patient information into the computerized medical record and billing systems, ensuring the accuracy and integrity of the medical record data abstracted and encounter information prior to finalizing the encounter.
  • Collaborate with the Clinical Documentation Improvement Team, Coding Team Coordinators and/or Supervisor to query for clarification of ambiguous documentation or, patient diagnostic and procedural information in the medical record.
  • Be knowledgeable in the requiremen...

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