Coder II

Monument Health Rapid City Hospital•Gillette, WY

2d•Onsite

About The Position

HIM Coder II codes a variety of services, including hospital outpatient, surgical, hospital and clinic professional, procedural, and ancillary services. The coder accurately assigns ICD-10, CPT, and HCPCS codes in accordance with Monument Health guidelines, official coding guidelines, and payer standards. The role supports accurate billing, coding quality, and resolution of payer issues.

Requirements

High school diploma or GED equivalent.
Ability to work assigned schedules and hours as determined by the department.

Nice To Haves

At least 1 year of coding experience.
Certified Coding Specialist (CCS) certification from the American Health Information Management Association (AHIMA).
Certified Professional Coder - Apprentice (CPC-A) certification from the American Academy of Professional Coders (AAPC).

Responsibilities

Review and abstract information in medical records to accurately code each episode of care.
Code hospital and professional services by assigning appropriate ICD-10, CPT, and HCPCS codes for billing.
Apply knowledge of medical science, medical terminology, anatomy, physiology, and official coding guidelines to select correct codes.
Apply knowledge of National Correct Coding Initiative (NCCI) edits, Local and National Coverage Determinations (LCDs and NCDs), Medically Unlikely Edits (MUEs), and Medicare guidelines.
Participate in coding education and training.
Provide ongoing feedback to physicians and staff regarding coding guidelines and requirements.
Query providers for missing documentation.
Resolve payer edits and denials and respond to requests from compliance, revenue integrity, billing, and other teams.
Use encoder and grouper software and other coding resources.
Meet coding productivity and accuracy standards.
Assist with patient audits and obtain necessary information.
Perform other duties as assigned.