Coder II

Using established policies and procedures, the Certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes needed for billing.

The role includes coding inpatient, observation, and outpatient cases, including clinics, ancillary services, ambulatory surgery, series, and emergency room cases. Based on experience and skill set, the coder may also handle highly complex inpatient records such as trauma, burns, open heart, and transplant cases.

Responsibilities include:

• Assign accurate ICD-10 and/or CPT codes and DRGs for inpatient, ambulatory, observation, emergency, and outpatient accounts.
• Interpret health record content to ensure diagnoses and procedures are supported by physician documentation.
• Maintain a coding accuracy rating of at least 95%.
• Query physicians when documentation clarification is needed.
• Meet coding productivity standards and complete productivity data accurately and on time.
• Review, research, and resolve claim edits for billing purposes.
• Make coding, disposition, and/or DRG corrections based on feedback from payers, auditors, and managers.
• Apply educational materials and clarify information when necessary.
• Maintain organized resources and respond to emails in a timely manner.
• Work effectively in a remote setting and come on site when system, connectivity, or other issues affect performance.