Certified Inpatient Coder (46391)

## Description

Under general supervision of the HIM Director, the Certified Inpatient Coder is responsible for reviewing inpatient medical records and accurately assigning ICD-10-CM diagnosis codes, ICD-10-PCS procedure codes, and MS-DRGs in accordance with official coding guidelines, federal regulations, and Tribal 638 facility policies. Upholds the principles of WIHCC’s Vision, Mission, and Value Statements. Maintains confidentiality of all privileged information at all times.

*Thislist**of**duties**and**responsibilities**is**illustrative**only**of**the**tasks**performedby this position and is not all-inclusive.*

**Essential Duties & Responsibilities:**

• Maintains regular attendance and punctuality.
• Review inpatient medical records to identify all diagnoses and procedures relevant to each patient encounter.
• Assign ICD-10-CM and ICD-10-PCS codes according to official coding guidelines.
• Determine and assign the appropriate MS-DRG.
• Ensure coding reflects the highest level of specificity supported by documentation.
• Apply coding guidelines established by CMS, American Hospital Association, AHIMA, and Tribal/IHS coding policies.
• Analyzes, abstracts, codes, and processes the Medical and/or the Electronic Health Record (EHR) to ensure proper assignment of codes; CPT, ICD-10, and HCPCS in accordance with coding guidelines.
• Identify missing or conflicting documentation and initiate provider queries when necessary.
• Analyzes and retrieves data for research, diagnostic, and/or teaching purposes.
• Participate in coding audits and quality improvement activities.
• Assist in resolving coding edits and claim rejections related to coding.
• Maintains strict confidential policies complying with HIPAA and WIHCC policies due to the sensitive nature of patient information.
• Maintains current training of new and updated codes per coding guidelines.
• Completes continued annual education as required to maintain coding certification.
• Reviews and completes Coding Que and error reports.
• Enquires and obtains additional information from providers and staff to accurately code services rendered.
• Corrects coding mistakes.
• Compiles and reports coding and productivity reports on a weekly basis for reporting measures
• Upholds all principles of confidentiality and patient care to the fullest extent.
• Adheres to all professional and ethical behavior standards of the healthcare industry.
• Adheres to WIHCCs Personnel Policies and Procedures, departmental policies, rules, and regulations.
• Interacts in an honest, trustworthy and dependable manner with patients, employees, visitors, and vendors.
• Possesses cultural awareness and sensitivity.
• Maintains compliance with all Human Resources requirements.
• Performs other duties as assigned.

## Qualifications

**Minimum Qualifications:**

High school diploma or GED required. Must have current certification with AAPC or AHIMA. (CIC, CCS). Three years progressive experience coding in inpatient setting. Bilingual skills in English and Navajo language preferred. Must maintain a valid unrestricted and insurable driver’s li