A Coder demonstrates proficiency in coding one outpatient service type to support Revenue Cycle goals for timely billing. The role uses ICD-10-CM and ICD-10-PCS, HCPCS (including CPT), and other coding references to ensure accurate coding and address applicable NCCI, OCE, LCD, and other coding edits. The Coder reviews the complete medical record to determine principal and secondary diagnoses, procedures, and complications; assigns and sequences diagnoses and procedures; and maintains 95% accuracy. The position performs charge reconciliation to ensure submitted charges are posted accurately for compliance and appropriate reimbursement. It maintains a consistent level of performance and productivity, holds accounts when additional information is needed for accurate code assignment, and contacts CDI, leadership, or medical staff as needed. The Coder keeps current with coding literature and revised guidelines, shares information with colleagues, completes assignments and special projects as directed, pursues continuing education, and works as a team member to meet department goals.
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Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED