Coder II; Remote

78 Medical Center Drive, Fishersville, VA 22939, USA

At Augusta Health, your work matters — and so do you. Whether you're delivering direct patient care, supporting operations, or innovating behind the scenes, every role contributes to our mission of promoting wellness and healing through compassionate service. We offer more than just a job — we offer a purpose-driven career in a nationally recognized, independent health system located in Virginia’s scenic Shenandoah Valley.

Our team members thrive in a supportive culture that values collaboration, integrity, and excellence. With opportunities across clinical and non-clinical areas, Augusta Health is a place where your skills make a difference, and your growth is a priority.

We believe in taking care of the people who care for our community. That’s why Augusta Health offers a comprehensive and thoughtfully designed benefits package that supports your well‑being, career development, and work‑life balance. Whether you're launching your career or bringing in years of experience, we provide the tools, resources, and encouragement to help empower you to reach your full potential — personally, professionally, and financially.

• Comprehensive insurance package including medical, dental, and vision coverage
• Retirement savings plans and financial wellness support programs
• Generous paid time off and flexible scheduling to promote work-life balance
• Career development programs including clinical ladders, shared governance, and advancement opportunities
• Personalized onboarding with dedicated preceptors and ongoing educational support
• Tuition reimbursement and access to onsite childcare
• Free onsite parking, 24/7-armed security for your safety, a Health Fitness Reimbursement Program, and an onsite credit union and pharmacy
• Competitive pay with shift/weekend differentials
• Employee discounts at the cafeteria, gift shop, pharmacy, and local entertainment venues (i.e., movie tickets)

The Coder II, under the direction of the Health Information Management Director and the Coding Manager, follows all regulatory guidelines in the reporting and sequencing of ICD-10-CM, HCPCS, and HCPCS Level II CPT codes. Generates coding queries to physicians to clarify patient condition(s) when conflicting or ambiguous information is reflected in the patient record. Understands their role in quality performance measures and serves as a resource to the Business Office in the reconciliation and resolution of problematic accounts.

• 95% + Accuracy
• Meets or exceeds bill drop dates/AR expectations
  • Consistently monitors and manages AR to facilitate dropping of pending, old, or problematic accounts of assigned locations in accordance with 30-Day Bill Drop policy.
  • Consistently meets established bill drop dates.
  • Percentage of weeks in which bill drop dates are met:
  • 90% of the time
• Accurately reports principal diagnosis in keeping with the most current AHA Coding Clinic and ICD-10-CM/ICD-10CM guidelines.
  • 95% + Accuracy
• Manages NCCI and OPPS edits in compliance with industry regulations.
  • Appends modifiers to charges when appropriate.
  • Notifies Business Office and corresponding ancillary department when charges should be removed or added.
  • Identifies and reports to supervisor recurring charge issues that can be addressed with ancillary department managers.
• Manages Queries Appropriately
  • Generates appropriate query selection based on clinical evidence established in the patient medical record.
  • Formats non-standardized queries in keeping with AHA Coding Clinic, CMS, and QIO guidelines.
  • Utilizes standardized query templates when available.
• Same Day Surgery: 6 accounts per hour
• Observation: 5 accounts per hour.
• Emergency Room: 12 accounts per hour.
• Ancillary encounters: 30 accounts per hour.
• Meets or exceeds the expected DRG/APC accuracy rate of 95%
  • Diagnosis and procedural codes applied to accounts result in the appropriate DRG or APC assignment(s)
• Accurately reports procedure codes
  • All ICD-10-CM and CPT procedure codes are accurately coded and reported in keeping with AHA Coding Clinic, CPT Assistant, ICD-10-CM, CPT-4, and/or…