Coder II

Job Summary

This Coder II will be part of the Cath lab team; experience with Cath lab coding highly preferred in addition to the CIRCC certification.

• The Coder II is skilled in three or more types of outpatient, profee, or low acuity inpatient coding.
• The Coder II may code low acuity inpatients, one‑time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery.
• For professional fee coding, the job requires proficiency for inpatient and outpatient, for multi-specialties.
• The Coder II uses ICD‑10‑CM, ICD‑10‑PCS, HCPCS, CPT, and other coding references, ensuring accurate coding and grouping (e.g., MS‑DRG, APR‑DRG, APC, etc.).
• The Coder II will abstract and enter required data.

• Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees.
• Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.
• Communicates with providers for missing documentation elements and offers guidance and education when needed.
• Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.