Medical Records Coder II

Opening

Full Time 40 hours Range URG 105 United Business Office Coding

Schedule

8 AM-4:30 PM

Responsibilities

GENERAL PURPOSE:

The Medical Coder II is responsible for system edit reviews and assigns appropriate codes (e.g. ICD-diagnosis, CPT, HCPCS and modifiers, DRG) from appropriate coding classification system to assure the production of quality healthcare data and accurate professional payment. This position also prepares periodic reports.

JOB DUTIES AND RESPONSIBILITIES:

• Uses knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign appropriate codes (e.g. ICD-10-CM, E/M, CPT, HCPCS and modifiers, DRG) through medical record documentation as per designated workflow. Completes system edit reviews to make corrections before transmittal.

• Ensures work queue and responsibilities are handled within established guidelines and timeframes. Troubleshoots problems that prevent claims from being released. Identifies cause of edit and independently resolves issue by reviewing the patient encounter to understand the nature of the problem.

• Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete.

• Prepares reports for designated leader to document recurring problems and identifies the source of reimbursement delays. Works closely with designated leader to ensure effective communication to resolve invoice payment delays. As necessary, provides Providers and other staff with information relative to coding.

• Responds to coding information requests and inquiries from various sources.

Other duties as assigned

QUALIFICATIONS:

• HS Diploma required

• 1-year postsecondary education towards associate's degree in Health Information Technology or health related field preferred

• 1-year experience in a healthcare billing or coding position preferred

• or equivalent combination of education and experience required

• Knowledge of ICD-10CM, CPT and HCPSC preferred

• Working knowledge of medical terminology and anatomy preferred

• Successful completion of American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) preferred.

• Or

• Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute preferred.

Note: This document describes typical duties and responsibilities and is not intended to limit management from assigning other work as required.

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How To Apply

All applicants must apply online.

EOE Minorities/Females/Protected Veterans/Disabled

Pay Range

Pay Range: $ 19.37 - $ 27.12 Hourly

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.