Professional Coder II
The Professional Coder II performs at an advanced level medical coding position and serves as an expert utilizing International Statistical Classification of Diseases (ICD-10) and Current Procedural Terminology (CPT 4) classification system coding to all diagnoses and procedures on a variety of encounter types including but not limited to Evaluation and Management (E/M) and surgery at stated minimum performance levels.
Responsibilities
- Interpret health record documentation using knowledge of anatomy, physiology, clinical disease processes, pharmacology and medical terminology to identify diagnoses and procedures
- Assign and sequence all ICD-10; CPT 4; Healthcare Common Procedure Coding (HCPC) and modifier codes for services rendered accurately and completely
- Reconcile correct coding edits and discrepancies prior to final coding
- Maintain coding quality of 95% or higher while meeting established productivity requirements based on encounter type
- Follows coding guidelines and legal requirements to ensure compliance with federal and state regulations
- Identify trends in documentation deficiencies and communicates areas of improvement opportunities to leadership and/or providers
- Acts as a key liaison for the physicians and clinical staff as it relates to coding and compliance
- Interacts with physicians and other professional staff of documentation issues relating to coding data
- Must be able to work independently with minimal supervision
This is not an all-inclusive list of this job's responsibilities. The incumbent may be required to perform other related duties and participate in special projects as assigned.
Qualifications
Required:
- 4 years of E/M coding experience in medical, surgical and physician professional specialties
- Epic EMR experience
- Current CCS, CCS-P or CPC certification
- High School Diploma/GED
Preferred:
- Pediatric, orthopedic and/or injury coding experience
- Associate's Degree in related field