Coder II

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 CODER II – OUTPATIENT demonstrates proficiency in coding multiple single visit outpatient/same day surgery accounts including, but not limited to:  

Observation, Hematology/Oncology, Gynecology/Oncology, Urology, Orthopaedics, General Surgery, Gastroenterology, Obstetrics, Gynecology, Podiatry, Ophthalmology, Dental, ENT, Pain Management, Neurology, Emergency and Diagnostic

Ancillary Services to support Revenue Cycle  Goals for timely billing.  

Utilizes International Classification of Disease (ICD-10-CM and PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding.  

Addresses NCCI, OCE, LCD and other coding edits as applicable

Examines the complete medical record to accurately determine the principal & secondary diagnoses, procedures, and complications.

Accurately sequences diagnoses & procedures, maintains 95% accuracy. Assigns ICD-10 and CPT Codes.

Performs charge reconciliation to ensure all submitted charges are posted accurately to ensure proper compliance and proper reimbursement.

Demonstrates a consistent level of performance; strives to maintain a steady level of productivity. 

Appropriately holds accounts when more information is required for accurate code assignment. Contacts appropriate staff (CDI/Leadership/Medical Staff) as needed. 

Regularly reviews coding literature, keeps current on new or revised coding guidelines, shares information with colleagues, determined by colleagues’ feedback and supervisor observation
Completes all assignments as directed by management in a conscientious and reliable manner.

Expresses interest in and pursues continuing education both inside and outside the hospital.

Works as a team member to meet department goals.

Performs all related duties or special projects as assigned/required.

This description is not intended to contain an exhaustive list of duties and responsibilities that the employee may be required to complete.  

There may be other duties as assigned.

0-2 years experience Health Information Management / Coding / Billing experience 

Applicant must have demonstrated proficiency in coding multiple outpatient services including, but not limited to:

Observation, Multi-specialty Oncology, Same Day Surgery, Endoscopy, Emergency Department, etc. 

Knowledge of NCCI, OCE and LCDs mandatory.

High School Diploma Required 

One or more of the following:  

RHIA, RHIT, CCS, CIC, COC, CPC, CCA, CCC, CIRCC, CCVTC and/or any of the Core Credentials or specialty credential of AAPC or AHIMA.