CLINIC CODER II - CERTIFIED (on-site)

General Duties, Tasks and Responsibilities

• Selects appropriate codes for reimbursement purposes; enters non-office charges into system as needed; investigates and solves all claims questions releasing the claim for submission.
• Utilizes computerized coding/abstracting software, coding references and resources, and medical dictionaries to ensure the most accurate and efficient entry of information.
• Codes all diagnoses/procedures in accordance to ICD-10-CM, CPT and HCPCS coding principles and the Coding Manual; ensures data quality and optimum reimbursement allowable under the federal and state payment systems.
• Performs coding audits on medical charts as assigned.
• Provides one-on-one provider education about documentation and coding requirements.
• Provides staff education and assists providers with utilization of EMR for timely and compliant documentation as needed.
• Reconciles charges against reports to ensure charges are captured appropriately.
• Runs weekly deficiency reports to keep track of physician documentation deficiencies.
• Understands medical/legal implication of incorrect coding and documentation of patient medical records.
• Reviews and corrects coding denials on claims as assigned.
• Complies with all established safety procedures to ensure a safe environment for patients, visitors and staff.
• Participates in performance improvement activities.

Education Requirements

Associate's Degree in HIM Emphasis Required

Experience Requirements

Physician / Hospital Medical Coding minimum 1 year

Additional Skills

• Ability to work independently, prioritize and complete tasks in a timely manner
• Knowledge of diagnoses/procedures in accordance with ICD-10-CM, CPT and HCPCS coding principles
• Knowledge of medical terminology, anatomy and physiology