JOB SUMMARY

The Coder 2 is proficient in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder 2 may code low acuity inpatients, one time ancillary/series, emergency department, observation, day surgery, and/or professional fee to include evaluation and management (E/M) coding or profee surgery. For professional fee coding, team members in this job code will be proficient for inpatient and outpatient, for multi-specialties. Coder 2 utilizes the International Classification of Disease (ICD-10-CM. ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.) The Coder 2 will abstract and enter required data.

QUALIFICATIONS

• EDUCATION - H.S. Diploma/GED Equivalent
• EXPERIENCE - 2 Years of Experience
• CERTIFICATION/LICENSE/REGISTRATION - Must have ONE of the coding certifications as listed:
• Cert Coding Specialist (CCS)
• Cert Coding Specialist-Physician (CCS-P)
• Cert Inpatient Coder (CIC)
• Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC)
• Cert Professional Coder (CPC)
• Reg Health Info Administrator (RHIA)
• Reg Health Information Technician (RHIT).

• Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees.
• Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.
• Communicates with providers for missing documentation elements and offers guidance and education when needed.
• Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.
• Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.
• Reviews and edits charges.