Coder II, CodingUS:TX:McAllen | Health Information Management | Full TimeThis is a mid-level, work from work position. Coder is responsible for:Analyzing provider documentationAssign and sequence ICD-10-CM, CPT®/HCPCS appropriatelyAppend billing modifiers when appropriateReconcile CPT(s)Resolves billing edits according to 3M Code editorParticipates in educational activities and attends staff meetings.Position Education/Qualifications:Coding credential from an accredited coding organization requiredCredentials from AHIMA, AAPC preferredExtensive knowledge of medical terminologyKnowledge of Coding GuidelinesKnowledge of CPT rules and regulationsKnowledge of NCCI policiesHighly reliableMust be a team player with good people skills and possess strong initiative to get daily work finished and processedMaintain productivity levelsJob Knowledge/Experience:Extensive experience in medical coding, medical terminology, and anatomy and physiology required; 3 year of coding experience preferredRequires reasoning ability and good independent judgmentAbility to perform productive research quicklyRequires working with minimal interruptionsMust have an understanding of laws and ethics related to health insurance, medical billing and Health insurance Portability and Accountability Act (HIPPA)Computer and coding software experience required, 3M encoder preferredAdvanced computer skills required with knowledge of Microsoft Office suite Experience in Professional coding and billing a plusResponsibilities:Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practicesCoding ICD-10-CM to the highest level of specificityAccurately Codes outpatient procedures according to CPT guidelinesMust be able to validate CPT based on medical record documentationAbility to code outpatient record types such as: Ambulatory surgery, General surgery, ENT surgery, Eye/Vision surgery, Interventional Radiology, Orthopedic surgery, Cardiovascular surgery, Spinal surgery, Pediatric surgery, Stereotactic surgery, Reconstruction/Plastic, Ob/Gyn surgery, Dental surgery, ER, Observations, Radiation/Chemo Oncology, Infusions, etc…Queries physicians for clarification when ambiguous, vague, or incomplete information is identifiedAbility to accurately attach HCPCS Level I and Level II modifiers for billing purposesUtilizes computerized 3M Coding SoftwareUtilizes and researches 3M Coding references for final codingMust be able to identify medical abbreviations, terms and their meaningsCodes all available records in a timely a mannerMust be able to multitaskMeets quality standards of having ? 95% of charts coded accuratelyMeets productivity standards set forth by the coding managerCommunicates with Coding Manager to solve problems and to clarify coding issuesAssign mnemonics to unbilled accounts as appropriateMaintains a good working relationship within the department, other departments, and medical staffAssist the business office with clearing reimbursement and denial issuesClears AEOS in a timely mannerCommunicates via email and/or phone with other departments to obtain pertinent information in order to code the accountWilling to transition into Inpatient codingCoding of introductory level Inpatient accounts may be requiredCommunicates with RMF clinic management to ensure timely professional billingAbility to identify and accurately assign discharge/disposition statusMust take initiative to further coding knowledgeAttends workshops, seminars or conferences that pertain to position and that fulfill CE hour requirementsReferences ICD-10-CM, CPT, and HCPCS Level II code books as neededReviews Coding Clinic updates and continuing education periodicals in a timely mannerAdheres to the Health Information Management Policies and Procedures for CodingAdheres to the Coding Compliance PlanFollows the AHIMA Standards of Ethical CodingMaintains confidentiality and safeguards all patient related information. Performs other duties as assignedLines of Responsibilities:(Chain-of-command)1. (Chief Revenue Officer) ? 2. (Director of Coding) ? 3. (Coding Supervisor)Customer Service:Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.Age Specific:Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirement relative to his or her age.Americans with Disabilities Act (ADA):A. Essential Duties: Indicated by bold print within performance standards, preceding individual numbered criteria.The following table provides physical requirements that will be associated with, but not limited to, this position:Light/moderate lifting up to 20 lbs, from the floor to shoulder height.KneelingMust be able to assist other employees with lifting more than 20 lbs.WalkingLight/moderate carrying up to 20 lbs.Standing/SquattingStraight pullingSittingPulling hand over handPushingRepeated bendingStooping/BendingReaching above shoulderClimbing StairsSimple graspingDual simultaneous graspingDepth Perceptions neededAbility to seeIdentify ColorsOperating office equipmentTwistingOperating mechanical equipmentAbility to read and writeAbility to hear verbal communication without aidAbility to comprehend written/verbal communicationOther: Ability to deal with stressOSHA Category - IIIB. Working Conditions: The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents.C. Occupational Exposure: This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.D. Aptitudes: HIGH 1 2 3 4 5 6 LOWIntelligence: General learning ability: The ability to "catch on" or understand instructions and underlying principles. Ability to reason and make judgments. 3Verbal