InpatientLeadCoder

**POSITION SUMMARY:** Assigns appropriate codes to reflect all diagnoses and procedures extrapolated from physician and appropriate nursing documentation during a patient encounter according to the most current coding methodologies, including ICD-10-CM/PCS, resulting in appropriate reimbursement. Abstracts required data to input into the Medical Center's computerized data base. Converts all patient visits and encounters into appropriate DRG (Diagnosis Related Group) assignments in order to correctly submit the optimal reimbursement for each patient encounter coded. Assists the IP Coding Manager in administrative duties such as assignment of coding work, analysis of the unbilled report, and other duties as assigned. **Position** : Inpatient Lead Coder **Department** : Clinical Documentation **Schedule** : Full Time **ESSENTIAL RESPONSIBILITIES / DUTIES:** Abiding by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adhering to official coding guidelines and departmental procedures, the Team Leader, IP Coder: * Assists IP Coding Manager with assignment of work to Coders, analysis of the daily unbilled report, and follow-up on unanswered physician queries and missing documentation. * Assists PFS in researching unbilled accounts and updating incorrect discharge dispositions. * Assists Coding Manager in orienting, training, and mentoring staff, provides ongoing education as needed. * Assists IP Coding Manager as a resource and subject matter expert to outside departments. * Assists IP Coding Manager trouble shooting system issues with 3M encoder and EPIC. * Assists IP Coding Manager with special projects as needed. * Reviews patient medical records and abstracts medical data that identifies all diagnoses and procedures. * Codes diagnoses, procedures, and appropriate modifiers from the medical record documentation using ICD-10-CM/PCS classification systems. * Refers to a computerized encoding system, written