Coder II - MPG - FT - Days - MSS - Remote Eligible
Core
Reviews medical record documentation to assign ICD-10 CM codes to complex diagnoses and CPT codes to procedures for outpatient encounters to ensure proper coding, billing, and compliance.
Role type
Senior IC medical coder (outpatient/hospital)
Builds
Accurate billing and compliance data for hospital outpatient services
Domain
Healthcare / Medical Coding
Required skills
ICD-10 CM coding, CPT coding, medical terminology, anatomy & physiology, pathophysiology, pharmacology, encoder software, electronic medical record systems, LCD edits, APC/EAPG assignments, HCC coding
Preferred skills
CCS, RHIA, RHIT, CPC, CPMA, CRC, CCSP certifications
Technologies
Computerized encoder, electronic medical record systems, Microsoft Office
Responsibilities
Review provider documentation (dictated, scanned, electronic) to assign and sequence diagnoses and procedure codes; Research electronic medical records for additional diagnoses to meet medical necessity; Communicate with insurance companies about coding errors and disputes; Conduct coding audits and reviews with healthcare professionals; Adjust to continual changes in coding guidelines and regulations; Maintain strict adherence to patient confidentiality.
Seniority
Mid-level, hands-on IC
