Coder II, Corporate Coding, Outpatient Ancillary Services, Full Time, First Shift

About the Role

The Certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes needed for billing. This role codes all types of inpatient, observation, and outpatient cases (including clinics, ancillary services, ambulatory surgery, emergency room cases, and highly complex inpatient records such as trauma, burns, open heart, and transplant cases) based on experience and skill set.

Location: Cincinnati, OH, United States

Responsibilities

• Reviews inpatients, ambulatory, observation, emergency, and outpatient accounts to assign accurate ICD-10 and/or CPT codes and DRGs.
• Interprets health record content to ensure all diagnoses and procedures coded are supported by physician documentation.
• Maintains a coding accuracy rating of at least 95% on records assigned.
• Queries physicians when necessary to ensure documentation supports the codes assigned.
• Performs coding on medical records efficiently, meeting productivity standards and assisting the department in meeting its goals.
• Completes productivity data correctly and timely.
• Reviews, researches, and resolves claim edits for billing purposes.
• Reviews records following feedback from payers, auditors, and managers and makes corrections to coding, disposition, and/or DRG assignment when indicated.
• Reviews educational materials thoroughly and applies this information when coding.
• Seeks clarification on information and educational material when necessary.
• Manages remote work settings effectively and reports on-site when system, connectivity, or other issues arise that impact work performance.

Requirements

• High school diploma or GED.
• Formal education in ICD-9-CM/CPT coding, medical terminology, anatomy, pathophysiology, and disease processes.
• At least 1 year of acute care coding experience.
• Must hold one of the following credentials: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS).

Qualifications (Preferred)

• Associate's degree in a healthcare-related field.
• Bachelor's degree in a healthcare-related field.
• Certification as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS).