The HIM Coder II is a key member of the Health Information Management team and works under the direction of the Manager of Coding. The role reviews electronic medical record documentation and assigns and sequences ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes in accordance with AHIMA Standards of Ethical Coding, ICD-10 Official Coding Guidelines, and other regulatory requirements. The primary focus is coding inpatient, observation, and surgical accounts. Inpatient coding uses Diagnosis Related Groups (DRG) methodologies, including present-on-admission indicators, and analyzes documentation for complications and comorbidities. The coder also performs physician queries, clarifies documentation, completes charge verification, and applies appropriate CPT, HCPCS, and modifier codes for outpatient claims. The position requires proficiency working edits and denials through claim scrubber queues. The coder must be able to work independently and as a team member, follow safe work practices, and comply with Amberwell procedures and established policies.
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Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED