Coder

Description

QUALIFICATIONS

• High school diploma or GED required

• Associate degree preferred

• 6-12 months coding experience required (Level 2 competency expected)

• CCS, CCS-P, CPC, or equivalent required

• Knowledge of ICD-10-CM/PCS, CPT, HCPCS, DRG/APC methodologies

• Ability to work independently and manage multiple priorities
RESPONSIBILITIES

• Maintain confidentiality of patient health information

• Review documentation to identify diagnoses and procedures

• Assign ICD-10, CPT, and HCPCS codes accurately

• Validate modifiers, units, and revenue codes

• Enter coded data into systems

• Reconcile billing edits and error reports

• Identify error trends and recommend improvements

• Query providers for clarification

• Assist with DRG/APC validation and reimbursement accuracy

• Collaborate with HIM, PFS, and Revenue Integrity teams

JOB TITLE: Coder Level 2
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RESPONSIBILITIES (CONTINUED)

• Support denial management and appeals

• Participate in audits and maintain =95% accuracy

• Stay current on coding and regulatory updates

• Support DNFB reduction and workflow improvements

• Promote organizational mission and teamwork

• Perform other duties as assigned
PERFORMANCE EXPECTATIONS

• =95% coding accuracy

• Meet productivity standards
PHYSICAL DEMANDS

Frequent sitting, computer use, and communication. Must lift up to 25 lbs and maintain visual focus for detailed work.
WORK ENVIRONMENT

Office or remote environment with prolonged computer use and moderate noise levels.
PERFORMANCE EXPECTATIONS

• =95% coding accuracy

• Meet productivity standards

Requirements

QUALIFICATIONS

• High school diploma or GED required

• Associate degree preferred

• 6-12 months coding experience required (Level 2 competency expected)

• CCS, CCS-P, CPC, or equivalent required

• Knowledge of ICD-10-CM/PCS, CPT, HCPCS, DRG/APC methodologies

• Ability to work independently and manage multiple priorities