Coder II - Physician Business Coding- Days

The Coder II is responsible for performing International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding for specialty billing, case mix, and data collection purposes. The Coder II performs reviews of patient charts and validates coding for accuracy and capture of all billable charges. The Coder II maintains data integrity within the hospital information systems.

• Assigns ICD and CPT codes to patient diagnoses and procedures for specialty services
  
  
  
  • Assess the accuracy and completeness of all information provided in documentation
  
  
  • Assign codes for procedures, services, and diagnosis by following set classification systems
  
  
  • Identify chargeable services/items for outpatient visits and ensure that all charges are accurately billed into the system
  
  
  • Code and post procedures and accurately assign CPT and ICD codes to them
  
  
  • Prioritizes assignments according to established criteria and decrease pending accounts
  
  
  • Contacts or queries physician when additional information or clarification is needed to code
  
  


• Reviews documentation and coding for accuracy and practices compliance with coding guidelines and protocols
  
  
  
  • Validates documentation and ICD/ CPT codes and modifiers
  
  
  • Performs compliance edits on primary care records, and ensures discrepancies are resolved
  
  
  • Reviews abstracted and statistical data for corrections and submits findings to leader
  
  
  • Maintains knowledge of coding guidelines and protocols
  
  


• Utilizes the Electronic Health Record system and other related computer systems and software
  
  
  
  • Selects appropriate assignments for coding/abstracting from work queues
  
  
  • Enters coded and abstracted data appropriately for use within the hospital information system
  
  
  • Maintains data integrity through review of the overall completeness, accuracy, and consistency of data within relevant systems
  
  

Education: High school diploma or equivalent.

Licensure: Certification in CPC, CCS, CCA, RHIT, and/or RHIA.

Experience: One (1) year performing clerical work or data entry.

Skills:

• Analyzing and organizing technical data


• Multitasking, time-management, and organization


• Verbal and written communication