I am proficient in ICD-10, CPT, and HCPCS coding systems. To ensure accuracy, I meticulously review medical documentation, cross-check codes with the latest coding guidelines, and utilize coding software for validation. I also stay updated with coding changes through continuous education and training. Accuracy is critical in inpatient coding, as it directly impacts billing and compliance, so I prioritize thoroughness and attention to detail in every task.

When encountering unclear documentation, I first review the record thoroughly to identify any overlooked details. If discrepancies persist, I collaborate with healthcare providers to clarify the information, ensuring accurate coding. I maintain open communication and document all interactions to support the coding process. This approach ensures compliance and minimizes errors, while fostering a collaborative relationship with the clinical team.

I have participated in both internal and external coding audits. To prepare, I ensure all coded records are accurate, complete, and compliant with current guidelines. I conduct self-audits regularly to identify and correct potential issues. During audits, I provide clear documentation and rationale for my coding decisions. This proactive approach helps maintain high coding standards and ensures readiness for any audit scenario.

I stay updated by attending webinars, workshops, and training sessions offered by professional organizations like AHIMA and AAPC. I also subscribe to coding newsletters and regularly review updates from CMS and other regulatory bodies. Staying informed about changes ensures my coding practices remain compliant and aligned with industry standards, which is essential for accurate inpatient coding.

During high-volume periods, I prioritize tasks based on urgency and complexity, using time management tools to stay organized. I break down large tasks into smaller, manageable steps and set realistic deadlines. I also communicate with my team to ensure alignment and support when needed. This structured approach helps me maintain productivity and accuracy, even under pressure.