Hospital Medical Coder II

Monday through Friday 8:00 AM to 4:30 PM

GENERAL SUMMARY

Under general supervision, the Hospital Medical Coder II is responsible for the collection of relevant, pertinent, accurate and timely profile data configured and/or abstracted from the hospital's outpatient, observation, day surgery, urgent care and emergency records moving from the least complex to the most complex. This position maybe responsible for coding inpatient records as needed/requested by management; this includes effective use of relevant coding systems as well as recognizing what data can be abstracted, presented and interpreted for effective use throughout the hospital network. Reports to department management.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Uses established coding guidelines to ensure the most effective and accurate coded profile on the patient. Abstracts pertinent and accurate data from the clinical record. Works with hospital and clinical staff to ensure that accurate and relevant patient data is collected, compiled and/or interpreted. Performs other duties as assigned.

LICENSES AND/OR CERTIFICATIONS

RHIT, CPCH or

CCS. AAPC

Certifications also accepted.

MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS

RHIT, CPCH, CCS or an Associate's degree in a related health care field required. One year of outpatient coding experience with exposure to day surgery, observation, urgent care, emergency and/or less complex inpatient cases or one or more years in a related health field requiring use of medical knowledge/terminology. One year inpatient coding experience preferred. Medical record abstracting experience preferred. Must possess knowledge of ICD, DRGs, CPT/HCPCS, and outpatient groupers for reimbursement and statistical reporting. Knowledge of CPT procedure code modifier use, E& M leveling and outpatient groupers required. Knowledge of billing/claims guidelines, and ability to use various coding methodologies to code clinical diagnosis and procedures.

WORKING CONDITIONS

Normal office environment with little exposure to excessive noise, dust, temperature and the like.

PHYSICAL REQUIREMENTS

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