Coder II

Essential Job Functions

• Analyzes patient medical records and interprets documentation to identify all diagnosis and procedures.
• Sets proper ICD 10, CPT and HCPCS codes.
• Applies sequencing guidelines to coded data according to official code rules.
• Data entry for the professional coding.
• Works with providers to clarify medical record documentation and identifies issues that may need to be clarified.
• Answers questions regarding coding guidelines and assists other departments with coding and billing questions.
• Remains abreast of developments in medical records technology by attending webinars and educational programs.
• Maintains confidentiality of all hospital and patient information at all times.
• Follows HIPAA regulations and policies.
• Communicates with patients, physicians, families and co-workers in person or on the telephone.
• Provides professional customer service and responds in phone, personal or through electronic communication.

Minimum Qualifications

• A high school diploma or equivalent.
• Coding certification: AAPC, RHIT, RHIA, CCS or CCS-P required.
• 3 years' experience required.
• Demonstrated thorough knowledge of ICD coding conventions and CPT coding principles and meet the recommended AHIMA coding competencies.
• Thorough knowledge of ICD/DRG coding optimization, and CPT coding principles including APC payment methodologies for outpatient hospital services is preferred.