Coding managers: Cover your bases when onboarding new inpatient coders

December 11th, 2018

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article is aimed at coding managers, directors, and inpatient coding educators who are responsible for onboarding new staff. It outlines general training considerations for coders coming from outpatient settings, from another facility, or straight out of school, and it discusses how organizations can structure review processes, specialty exposure, and support around facility-specific policies and workflow. The piece also references example inpatient diagnosis codes used in training contexts.

Why This Topic Matters

Effective onboarding can affect inpatient coding quality, productivity, and consistency. The article highlights the kinds of training areas that matter most when a coder’s prior experience does not match the needs of a specific facility.

Article Sections

  1. New inpatient coder transferred from outpatient coding

    Discusses onboarding considerations for coders moving from outpatient settings into inpatient work. The section focuses on broad differences in documentation review, diagnosis coding, and inpatient-specific guidance.

  2. New inpatient coder hired from another facility

    Covers onboarding priorities for coders who already have inpatient experience elsewhere. The section addresses facility-specific policies, case mix, and coordination with clinical staff and CDI teams.

  3. New inpatient coder straight out of school

    Describes support strategies for recent coding graduates entering inpatient coding. The section covers phased workload progression, review processes, software setup, and use of outside educational resources.

  4. Consider specialization

    Explores the concept of assigning coders to specific types of cases. The section discusses the general benefits and tradeoffs of specialty-focused coding roles.

What You Will Learn

  • How onboarding needs differ for inpatient coders with outpatient experience, prior inpatient experience, or no work experience
  • What broad training areas managers should emphasize when introducing coders to a new inpatient environment
  • How facilities may structure review, workflow, and specialty exposure during coder development
  • Why specialization may be considered as part of a coding team’s staffing strategy

Who Should Read This

  • Inpatient coding managers
  • Health information management directors
  • Coding educators
  • Coding quality assurance staff
  • Hospital CDI and coding leadership

Codes Discussed

  • ICD-10-CM: J13
  • ICD-10-CM: J14
  • ICD-10-CM: J15.0
  • ICD-10-CM: J15.1
  • ICD-10-CM: J15.3
  • ICD-10-CM: J15.4
  • ICD-10-CM: J15.5
  • ICD-10-CM: J15.6
  • ICD-10-CM: J15.7
  • ICD-10-CM: J15.8
  • ICD-10-CM: J44.0
  • ICD-10-CM: J44.1
  • ICD-10-CM: J44.9

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