Job DescriptionThe Coder II is responsible for performing International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding for specialty billing, case mix, and data collection purposes. The Coder II performs reviews of patient charts and validates coding for accuracy and capture of all billable charges. The Coder II maintains data integrity within the hospital information systems.ResponsibilitiesAssigns ICD and CPT codes to patient diagnoses and procedures for specialty services Assess the accuracy and completeness of all information provided in documentationAssign codes for procedures, services, and diagnosis by following set classification systemsIdentify chargeable services/items for outpatient visits and ensure that all charges are accurately billed into the systemCode and post procedures and accurately assign CPT and ICD codes to themPrioritizes assignments according to established criteria and decrease pending accountsContacts or queries physician when additional information or clarification is needed to codeReviews documentation and coding for accuracy and practices compliance with coding guidelines and protocols Validates documentation and ICD/ CPT codes and modifiersPerforms compliance edits on primary care records, and ensures discrepancies are resolvedReviews abstracted and statistical data for corrections and submits findings to leaderMaintains knowledge of coding guidelines and protocolsUtilizes the Electronic Health Record system and other related computer systems and software Selects appropriate assignments for coding/abstracting from work queuesEnters coded and abstracted data appropriately for use within the hospital information systemMaintains data integrity through review of the overall completeness, accuracy, and consistency of data within relevant systemsQualificationsEducation: High school diploma or equivalent.Licensure: Certification in CPC, CCS, CCA, RHIT, and/or RHIA.Experience: One (1) year performing clerical work or data entry.Skills:Analyzing and organizing technical dataMultitasking, time-management, and organizationVerbal and written communication