Coder, Medical Billing and Coding, Healthcare Administration

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The Coder 2 analyzes clinical documentation; assigns appropriate diagnosis, procedure, and levels of service codes; abstracts the codes and other clinical data. Performs a variety of technical functions within the Outpatient coding area, codes outpatient visits, sent‑in‑labs, consolidated funding accounts, utilizing ICD‑10‑CM, CPT‑4, and HCPCS Coding Classification systems. Utilizes an electronic coding software to code to the highest level of specificity, ensuring optimal and appropriate reimbursement for the services provided.

Responsibility includes resolving medical necessity edits and extracting and entering data into the medical record. This information is then used to determine reimbursement levels, assess quality of care, study patterns of illness and injuries, compare healthcare data between facilities and between physicians, and meet regulatory and payer reporting requirements. The Coder 2 also resolves clinical documentation and charge capture discrepancies and provides feedback to providers on the quality of their documentation and charging.

• Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures, and standards.
• Actively participates in creating and implementing improvements.
• Assigns ICD‑10, CPT‑4, and HCPCS codes to all diagnoses, treatments, and procedures, according to official coding guidelines.
• Knowledge of relationship of disease management, medications and ancillary test results on diagnoses assigned.
• Extracts required information from electronic medical record and enters encoder and abstracting system.
• Follows up on unabstracted accounts to assure timely billing and reimbursement.
• Resolves any questions concerning diagnosis, procedures, clinical content of the chart or code selection through research and communication. May query physicians on documentation according to established procedures and guidelines.
• Meets departmental productivity and quality standards.
• Completes projects as assigned.
• Ensures timely and accurate work.
• Contributes to the process or enablement of collecting expected payment.
• Understands and adheres to Revenue Cycle’s Escalation Policy.

• Certificate program in Coding or A.A./A.S. in HIM or Certificate with 1-3 years of healthcare experience (MA, HUC, Revenue Cycle).
• 1 year of coding experience.
• Basic knowledge of Windows‑based computer software. Epic and Microsoft Teams.
• Due to differences in scope of care, practice, or service across settings, the specific experience required for this position may vary.
• Registered Health Info Administrator (RHIA) or
• Registered Health Info Technician (RHIT) or
• Certified Coding Specialist (CCS) or
• Professional Coder Cert (CPC) or
• Certified Coding Specialist – Professional (CCS‑P) or
• Professional Coder – Hospital (CPC‑H) or
• Certified Outpatient Coding (COC) or
• AAPC specialty certifications.

• B.S./B.A. in HIM.
• 2 years of coding experience.

Fairview offers a generous benefit package including medical, dental, vision plans, life insurance, short‑term and long‑term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! More information: https://(Use the "Apply for this Job" box below)./noncontract

An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign‑on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.

EEO/Vet/Disabled:
All qualified applicants will receive consideration without regard to any lawfully protected status.

• Entry level

• Full‑time

• Health Care Provider

• Hospitals and Health Care