• The Inpatient Coder is responsible for accurately abstracting data into appropriate client electronic medical record systems, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding, UHDDS guidelines, and CMS directives. • Performs data entry of required abstracted patient information into the client’s information system. • Assigns Present on Admission (POA) indicators according to AHA POA guidelines. • Queries physicians when appropriate and interacts with Clinical Documentation staff as per account requirements. • Maintains consistent coding accuracy rate of 95% or better while also meeting productivity standards. • Assigns appropriate ICD-10-CM/PCS codes to inpatient accounts as per designated workflow • Abstracts and enters coded data for hospital statistical and reporting requirements • Assigns present on admission indicators and discharge dispositions • Queries physicians to clarify conflicting, imprecise, incomplete, ambiguous, and/or inconsistent clinical information when appropriate • Communicates documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution • Communicates with Clinical Documentation Improvement and/or Revenue Cycle teams for follow up and reconciliation of accounts • Maintains required productivity and quality requirements • Maintains coding credential requirements