CERTIFIED CODER II

Job Summary:

Performs final, ICD-10-CM diagnosis coding and CPT procedure coding on Outpatient Surgery, Surgical Clinic and Observation Encounters. Observation coders are responsible for calculating OBS hours based on the procedure used at Forrest Health. Coders help insure the data integrity of the patient's clinical record. Coders are responsible for the abstraction of ADT information at the time of final coding. Coders must be able to effectively communicate with the medical staff, other departments, and teammates through queries, email, telephone, teleconference and/or face to face encounters. Certified Coders are responsible for maintaining continuing education hours necessary for current certifications. Coders are expected to research diagnosis and procedure techniques to ensure assignment of the appropriate ICD10 CM and CPT codes. Uses EPIC and 3M software to review the electronic medical record and the 3M encoder to code and calculate the billing APC in EPIC or the appropriate billing E&M levels for surgical clinics. Coders are expected to work cooperatively with other team members. Performs clerical duties as required or as designated by the Manager, Director or Supervisor. Coder will add deficiencies as well as work denials.

Performance Expectations:

• Demonstrates ability to code records according to set productivity standards.
• Demonstrates the ability to work edits received from patient accounts.
• Demonstrates the ability to abstract (i.e., correct codes, dates, provider information, and discharge status) all records within 4 days of patient discharge to ensure timely reimbursement.
• Demonstrates the ability to maintain performance standards set by the department.

Qualifications:

Education/Skills

Associate degree in a medical related field is preferred

Work Experience:

One year experience in ICD-10-CM and CPT coding preferred. Must have a working knowledge of Health Information Management and experience with various computer software environments.

Mental Demands:

Must be able to use the ICD 10 Official Coding Guidelines and other coding resources available. Ability to type and be familiar with the rules of spelling, grammar, and punctuation. Must have the ability to use a computer, copier, telephone, printer, and fax. Knowledge of DNV standards and other regulatory systems is essential. Must have a high energy level, be comfortable working remote and have a dedicated work ethic