Coder 2

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Work Shift

Day (United States of America)

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 Performs other duties as assigned Complies with all Wellstar Health System policies, standards of work, and code of conduct.

Required Minimum Education:

or High School Diploma Accounting or GED Accounting
• *** Format Error Other / Certificate Anatomy

Required Minimum License(s) and Certification(s):

All certifications are required upon hire unless otherwise stated.

Additional License(s) and Certification(s):

CCS - Cert Coding Spec Upon Hire Preferred or CPC - Cert Prof Coder Upon Hire Preferred or RHIA - Reg Health Information Admin Upon Hire Preferred or RHIT - Reg Health Information Tech Upon Hire Preferred or

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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