Medical Coder II

Medical Coder II

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Summary: Performs technical and administrative work reviewing, abstracting and assigning accepted medical CPT, HCPCS, and ICD-10 codes for professional services. Duties are performed in compliance with third party, state and federal regulations according to standardized procedures. Employees report to an administrative superior but independently handle assigned tasks.

Responsibilities:

• Accurately assigns International Classification of Diseases 10-CM (ICD-10) diagnostic and Current Procedural Terminology (CPT) codes with modifiers, and other applicable codes. Analyzes information for optimal and proper reimbursement, including coding denial resolution. Ensures compliance with all appropriate coding, billing and data collection regulations and procedures. Uses appropriate software to validate information.
• Provides information to physicians and other health care staff regarding current coding practices and changes in 3rd party, state and federal regulations and guidelines.
• Reviews, analyzes and abstracts provider documentation for diagnoses, procedures, ancillary testing, medications, laboratory and other services provided. Obtains missing information and/or clarifies existing documentation.
• Independently manages high volumes of inventory within departmental standards.
• Adheres to departmental quality and production standards.
• Acquires continuing education via UNC Physicians approved programs and vendors.
• Maintains requires professional certification.

Education Requirements:

• High School diploma or GED
• Successful completion of the UNC HCS SS Rev Cycle Physician Coder Proficiency Test
• Successful completion of the UNCH Coder Proficiency Test.

Licensure/Certification Requirements:

• Must have one of the following: - AAPC (American Academy of Professional Coders) certification-AHIMA (American Health Information Management Association) CCSP Certification

Professional Experience Requirements:

• 2 years of physician medical coding experience

Knowledge/Skills/and Abilities Requirements: