Catholic Health Initiatives 12400 CODER II in KEARNEY, Nebraska

12400 CODER II

Description

Job Summary:

Under general supervision, Coder II is responsible for abstracting and assigning valid CPT, ICD-9/10, and HCPCS codes to ensure appropriate reimbursement in accordance with federal, state, and private health plans as well as organization and regulatory guidance. This position is responsible for identifying compliance concerns, trends, and educational opportunities to ensure proper coding, documentation, and accuracy of billing within their areas of responsibility/specialty. Typically, is responsible for moderately complex coding. Work independently with limited oversight. May require direction on more complex cases.

Essential Duties:

  • Accurately abstract information from the medial records into the appropriate coding systems, ensuring compliance with established guidelines.

  • Determine the most appropriate diagnosis after a thorough review of the medical records. Work closely with practice staff with regards to coding and assignment of a MS-DRGs (Diagnosis Related Group) and APCs (Ambulatory Payment Classification).

  • Code medical records using ICD-9-CM and CPT-4 coding rules and guidelines. Ensure thorough and compliant coding to support patient records and submission of billing for payment.

  • Accurately sequence diagnostic and procedural codes according to organization specified procedures and assigns MSDRG/APC as appropriate. Provides codes various departments upon request.

  • Enter and validate charges using appropriate tools and validates diagnoses with the medical documentation provided.

  • Compare charges on accounts with the procedures coded and identifies any discrepancies. Notify Coding Manager of any discrepancies’ and collaborates as needed to rectify the account.

  • Identifies trends and educational opportunities to ensure proper coding, documentation, and accuracy of billing within areas of responsibility/specialty.

  • Participate in special projects and/or completes other duties as assigned.

Qualifications

Certifications

CCS-P_CERTIFIED CODING SPECIALIST-PHYSICIAN BASED - AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION

CCS_CERTIFIED CODING SPECIALIST - AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION

CPC-H_CERTIFIED PROFESSIONAL CODER-HOSPITAL - AMERICAN ACADEMY OF PROFESSIONAL CODERS

RHIA_REGISTERED HEALTH INFORMATION ADMINISTRATOR - AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION

RHIT_REGISTERED HEALTH INFORMATION TECHNICIAN - AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION

Education

AO:

HSD:

Language

Not Specified

Job Administrative and Clerical

Primary Location NEBRASKA-KEARNEY-GOOD SAMARITAN MEDICAL GROUP ORTHOPEDIC SURGERY

Daily Schedule M-F

Scheduled Hours per 2-week Pay Period 80

Weekends Required None

Req ID: 2017-R0127106