In simple terms, an inpatient coder is a professional
medical practitioner responsible solely for medical coding, particularly in a
medical inpatient environment. In most health facilities, they are certified
professionals who have undergone intensive training on the job. The training
relates to interpreting and applying medical codes based on patients’ health
and treatment documents. These codes are used for diagnosis and treatment
purposes as well as insurance and billing.
An inpatient coder professional should have specific coding
expertise and experience. These include the international ICD-9 and the ICD-10
codes classifications. An inpatient coder reviews the patient medical notes and
documentation provided by attending physicians and determines the most
appropriate corresponding code.
In order to provide better and standardized medical care, it
is important that an inpatient coder be knowledgeable with coding software to
process insurance and billing claims. In addition, they need to have a broad
knowledge and understanding of various medical terminologies, including anatomy
and biology, also some knowledge of pharmacology and all major diseases.
A professional who works as an experienced or senior
inpatient coder is a critical part of a medical facility. He or she has a lot
of responsibilities, key among them being training and mentoring junior staff
members. Besides that, they may also have leadership roles and work as
liaisons, most commonly to an outside party such as an oversight organization.
They may either work in teams or alone with minimal supervision where
necessary.
In most cases, inpatient coder professionals are literate
and computer savvy. This ensures all the entries they make are not only
accurate but updated to ensure proper service delivery. Besides that, they are
also instrumental in billing and filing essential office processes. Foremost,
they must ensure high levels of patient data confidentiality. IT systems used
by Inpatient coders either onsite or at remote coding facilities have
encryption and other security systems enabled to maintain this confidentiality.
An inpatient coder is mandated with the duty of ensuring
high levels of accuracy in all patient files. In case of any inaccuracies or
discrepancies, then it is his or her responsibility to report the matter to the
medical staff members so that the necessary corrections and updates can be
made.
As an entry requirement, an inpatient coder should have
successfully completed an associate’s degree in medical record coding.
Additionally, he or she must also receive specialized training on coding to
quality as a certified inpatient coder. Ongoing education is essential to stay
abreast of updates in coding conventions and practices.
On average, the outlook on the inpatient coding job market
is very positive. There are anticipations that job growth in this field is
expected to grow even further if the current data from the United States are
anything to go by. As of now, inpatient coders earn an average of around
$53,000 annual salary.
Source: https://www.pdnseek.com/resource-pages/inpatient-coder/
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