HIM Coder 2 - Inpatient Coding

Under the general supervision of a manager and direct supervision of a supervisor, the Coder 2 is responsible for reviewing medical record documentation and accurately assigning diagnosis and procedure codes.

• Review medical record documentation to assign diagnosis and procedure codes accurately.
• Use the encoder system to sequence codes and calculate the corresponding MS-DRG, APR-DRG, and APC grouper.
• Abstract patient information into computerized medical record and billing systems while maintaining data accuracy and integrity.
• Collaborate with the Clinical Documentation Improvement Team, Coding Team Coordinators, and/or Supervisor to clarify ambiguous documentation or diagnostic and procedural information.
• Apply knowledge of Medicare and managed care regulations, ICD-9, ICD-10-CM/PCS, and CPT coding systems.
• Maintain department quality and productivity standards while learning routine coding functions for low to medium complexity medical records.
• May provide guidance and assistance to Coder I staff, apprentices, and clinical practice students.

Work location: TGH WFLA

Eligible for remote work: fully remote

Schedule: Monday through Friday, day shift