Coder II

McLaren Health Care • Grand Blanc, MI

22h

About The Position

The Coder II reviews inpatient and outpatient records and documentation, then identifies and assigns appropriate ICD-10-CM, CPT-4/HCPCS, and/or ICD-10-PCS codes for reportable diagnoses and procedures. The role determines principal diagnoses, comorbidities and complications, secondary conditions, and surgical procedures. It includes outpatient coding and charge validation across multiple specialties, coding records with lengths of stay both under 30 days and over 30 days, and entering appropriate charges for services and procedures. The Coder II also researches National and Local Coverage Determination guidelines and modifier requirements to support clean claim submission. The position is expected to meet or exceed a 95% coding accuracy standard and established production standards.

Requirements

• Associate’s degree in Health Information Technology (HIT), Applied Science, Liberal Arts, or another healthcare-related field.
• At least 2 years of facility inpatient, outpatient, or professional coding experience.
• Certification from one of the following: AHIMA (such as RHIA, RHIT, or CCS); AAPC (such as CPC, CCC, COC, CIC, or CHONC); or AMAC (such as ROCC).

Nice To Haves

• 3 years of facility inpatient, outpatient, or professional coding experience.

Responsibilities

• Code inpatient and outpatient records, including records with lengths of stay under 30 days and over 30 days.
• Perform outpatient coding and charge validation (charge entry) across multiple specialties.
• Review documentation and assign ICD-10-CM, CPT-4, HCPCS, and/or ICD-10-PCS codes, with charge validation as applicable.
• Enter appropriate soft codes for evaluation and management levels, observation hours, injections, infusions, and other procedures as necessary.
• Validate CPT-4 codes and charges captured by McLaren departments, including hard-coded charges for services provided during specific encounters.
• Research National Coverage Determination (NCD) and Local Coverage Determination (LCD) guidelines and modifier requirements to help ensure clean claim submission.
• Determine principal diagnoses, comorbidities and complications, secondary conditions, and surgical procedures.
• Meet or exceed the established 95% accuracy rate and production standards.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree