Coder II

Essential Functions

Abstracts data in compliance with national, regional, and local policies, and interprets and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure codes.

• Utilizes practice management system (PMS) to accurately account for demographics and services performed for all scheduled and unscheduled surgical cases according to standard procedures and coding guidelines.
• Utilizes individual hospital medical record systems and coordinates with physicians and staff to obtain clinical documents and demographics required for appropriate coding and billing for all hospital procedures.
• Provides education and support to clinical areas regarding appropriate documentation and coding of services to achieve accurate billing. Maintains effective communication with providers concerning coding issues.

• High school diploma/GED or equivalent working knowledge preferred.
• Accredited by the American Health Information Management Association (CCS-P) or the American Academy of Professional Coders (CPC)

• At least three years of experience in provider coding and medical terminology with extensive knowledge of ICD-10, CPT, and HCPC coding required.
• Preferred specialty experience in areas of Orthopedics, Neurology, Physical Medicine, and Rehabilitation or Pain Management.

• A minimum of one of the following credentials: CCS-P or CPC.
• Meets established coding and abstracting quality and productivity standards.
• Experience with various coding software. Previous experience with remote coding is preferred. Possesses PC skills, both keyboarding and applications.
• Requires a good understanding of anatomy, physiology, medical terminology, and disease processes.
• Ability to work independently.
• Excellent attention to detail.