Coder 2

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Job Summary: The OP Coder 2 position reports directly to the Supervisor of Coding. Key responsibilities of the role include: Reviewing documentation in same day surgery and observation medical records, and accurately and completely assigning appropriate ICD-10-CM diagnostic and procedural CPT-4/HCPCS codes to the greatest specificity, and assigning the most accurate APC when appropriate. Abstracts demographic and coding information accurately and completely Core Responsibilities and Essential Functions: Codes and abstracts medical records with a minimum of accuracy: - Accurately and completely assigns appropriate ICD-10-CM diagnostic and CPT-4/HCPCS procedural codes to the greatest specificity, assigning the most accurate DRG/APC, when appropriate and in accordance with Official Guidelines for Coding and Reporting and Facility Coding Guidelines, as applicable - Accurately and completely abstracts all required patient demographic data into the EMR - Accurately assigns correct APC - Meets productivity standards - Queries providers, if needed to further clarify code Manages additional coding responsibilities, contributing to the CFB (candidate for bill) goals, including but not limited to: - Resolves coding edits and reminders, correcting abstracting and coding issues in a timely manner (1-2 business days) - Completes and routes problem accounts, ready to code, high dollar and other accounts daily to ensure cases are coded as close to goal date as possible - Completes assigned work by goal date - Assists with coding unassigned or backlogged accounts - Accurately capture the surgical CPT code(s) for pre-certification reconciliation for each of the WHS facilities, as needed Other task as assigned: - Serves as a mentor to new coders - Assist with cleaning up or escalating missing documentation or other work queues - If proficient, assists with outpatient and emergency coding when needed or assigned - Other tasks as assigned Required Minimum Education: High School Education Required and GED Required or equivalent. Required and Completed anatomy and physiology course(s). Required Required Minimum License(s) and Certification(s): All certifications are required upon hire unless otherwise stated.

• Cert Coding Spec-Preferred or Cert Prof Coder-Preferred or Reg Health Information Admin-Preferred or Reg Health Information Tech-Preferred

Additional License(s) and Certification(s): Required Minimum Experience: Minimum 3 years acute care same day surgery and observation coding experience. Required Required Minimum Skills: Must have demonstrated maintenance of a or higher accuracy in abstracting, code and DRG assignment while meeting productivity requirements in previous roles. Ability to work in a remote environment. Computer/data entry experience. Ability to communicate with various members of the healthcare team. Ability to use Microsoft (Excel, Word).

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