LRHPG Coder II - LRHPG-Coding

Position Details
Under the direction of the Ambulatory Coding Quality Manager, reviews clinical documentation and diagnostic results, as appropriate, to extract data and apply appropriate ICD-10-CM, CPT, and/or HCPCS codes, and modifiers to clinic encounters and hospital-based services for reimbursement and statistical purposes. Assures that the provider and clinicial staff documentation in the medical record supports any information provided in the claims. Communicates with providers or other hospital team members as needed to obtain optimal documentation to meet coding and compliance standards. Abstracts clinical and demographic information in ICD-10 CM, CPT, and HCPCS codes and modifiers into the computerized patient abstract. Participates in ongoing continued education to assure knowledge and compliance with annual changes.

Work Hours per Biweekly Pay Period: 80

Location: 210 South Florida Avenue Lakeland, FL
Pay Rate: Min $24.02 Mid $30.03

Position Responsibilities
Standard Work Duties: LRHPG Coder II

• Reviews medical records to determine if diagnostic and procedure codes are accurately reflecting the provider documentation.
• Assigns and sequences diagnostic and procedural codes and modifiers using appropriate classification systems and official coding guidelines.
• Demonstrates competence in coding and abstracting requirements by maintaining less than 5% error rate for all ICD-10-CM, CPT, and HCPCS codes and modifiers.
• Continuously reviews changes in coding rules and regulations including in Coding Clinic, CPT Assistant, CMS, and other payer guidelines.
• Prioritizes coding functions as directed by the Manager, and organizes job functions and work assignments to efficiently complete tasks within the established time frames.
• Demonstrates knowledge of all equipment and systems/technology necessary to complete duties and responsibilities.
• Identifies and summarizes findings for internal and external parties to help providers improve their documentation and coding. Educates, trains, and provides assistance in a variety of ways to help providers and clinic staff close gaps in diagnoses and treatment opportunities.
• Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding.
• Reviews appropriate work queues/reports daily to address coding reviews, edits and corrections.
• Assists healthcare providers and clinics in identifying and resolving issues related to incomplete or missing chart documentation, ambiguous or nonspecific documentation or codes that do not conform to regulatory guidelines.
• Stewardship
• Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
• Knows and adheres to organizational and department policies and procedures.

• Computer Experience, especially with computerized encoder products and computer-assisted coding applications as well as proficiency in computer usage including spreadsheet analysis and word processing (e.g. Microsoft Word and Excel).
• Ability to learn new computer applications quickly and independently and become a skilled user of the organization's technology. Demonstrated familiarity with a variety of practice management software including EHR(s).
• Knowledge of anatomy and physiology, pharmacology, and medical terminology.
• Requires critical thinking skills, organizational skills, written and verbal communication skills, decisive judgment, and the ability to work with minimal supervision.
• Demonstrates adaptability and self-motivation by staying abreast of CMS rules and regulations and incorporating those changes into daily practice.