Huntsville Memorial Hospital
Huntsville, AL
Under general supervision of the Director, the Coder II provides consistency and efficiency in outpatient claims processing and data collection to optimize APC reimbursement and facilitate data quality in outpatient services. Reviews, audits, and reports on charge capture. Maintains patient confidentiality at all times.
ESSENTIAL JOB FUNCTIONS
Analyzes IP, OP, Recurring, & SDC records and appropriately codes per coding guidelines, ICD-10-CM and CPT rules and updates, creating APC or DRG group assignments.
Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
Concurrently codes Recurring records for interim billing.
Processes records for deficiencies and return for completion.
Enters codes into the Abstracting Module as needed, including use of the 3M encoder.
Performs data quality reviews on outpatient encounters to validate the ICD-10-CM, CPT, and HCPCS Level II code and...