Sr. Medical Coder - E/M - Inpatient Job Description Template
As a Sr. Medical Coder - E/M - Inpatient, you will be responsible for reviewing and accurately coding the Evaluation and Management services for inpatient records. Your attention to detail and coding expertise will support compliance and optimize revenue cycles.
Responsibilities
- Accurately code inpatient medical records, focusing on E/M services.
- Review and analyze medical records to ensure proper coding.
- Ensure compliance with coding guidelines and regulations.
- Collaborate with healthcare providers to clarify diagnosis and documentation.
- Stay current with coding standards and healthcare regulations.
- Contribute to audits and ensure accurate billing processes.
- Provide mentorship and training to junior coders.
Qualifications
- Certified Professional Coder (CPC) or equivalent certification.
- Minimum of 5 years experience in medical coding, particularly E/M and inpatient services.
- Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
- Familiarity with medical terminology and healthcare documentation.
- Excellent attention to detail and analytical skills.
- Strong communication skills, both written and verbal.
Skills
- ICD-10
- CPT
- HCPCS
- Medical Terminology
- E/M Coding
- Inpatient Coding
- Compliance
- Documentation Analysis
- Revenue Cycle Management
- Audit Processes
Frequently Asked Questions
A Senior Medical Coder focusing on E/M for Inpatient settings is responsible for analyzing and converting patient information from medical records into standardized codes using ICD, CPT, and HCPCS systems. These codes are essential for billing and maintaining accurate patient records. They must ensure coding accuracy to comply with regulations and communicate effectively with healthcare providers to clarify diagnoses and procedures.
To become a Senior Medical Coder in E/M Inpatient care, individuals typically need a certification from recognized bodies such as AAPC or AHIMA. Prior experience in medical coding, especially in Evaluation and Management (E/M) coding for inpatient settings, is crucial. Further education in health information technology or related fields enhances eligibility for this senior position.
The average salary for a Senior Medical Coder specializing in E/M Inpatient varies based on factors such as location, experience, and certification. Generally, they earn a competitive salary reflecting their expertise and the demand for accurate medical coding in inpatient settings. This role often benefits from additional perks like flexible hours, healthcare benefits, and opportunities for professional growth.
Qualifications for a Senior Medical Coder specializing in E/M Inpatient include certifications such as CPC, CCS, or RHIT along with substantial experience in medical coding. In-depth understanding of ICD-10, CPT, and HCPCS code sets is necessary, as well as competency in electronic health record systems. Strong analytical and attention-to-detail skills are also essential for success in this role.
A Senior Medical Coder specializing in E/M for Inpatient settings should possess skills in meticulous record analysis, classification of medical data, and familiarity with coding guidelines. Responsibilities include ensuring accuracy in coding, compliance with healthcare standards, effective communication with medical staff, and continuous education to stay updated with coding and healthcare regulations.