Coder II

This job was posted by https://idahoworks.gov : For more information,

please see: https://idahoworks.gov/jobs/2547905

Under general supervision and according to established procedures,

assigns codes to medical records. Codes patient medical record under

ICD-10, CPT, HCPCS guidelines. Abstracts required data from

documentation to support the coding. Enters ICD 10 and CPT codes in

electronic medical record and finalizes accounts. Does all professional

data entry. Research information on claims that are denied, rejected,

etc. or encounters other issues.

**Essential Job Functions:**

• Analyzes patient medical records and interprets documentation to
  
  

identify all diagnosis and procedures. Assigns proper ICD 10, CPT

and HCPCS codes.

• Applies sequencing guidelines to coded data according to official
  
  

code rules.

• Data entry for the professional coding.
• Works with providers to clarify medical record documentation and
  
  

identifies issues that may need to be clarified.

• Answers questions regarding coding guidelines and assists other
  
  

departments with coding and billing questions.

• Remains abreast of developments in medical records technology by
  
  

attendance at webinars and educational programs.

• Meets minimum quality and productivity standards. Inpatient coders
  
  

will send weekly productivity reports to supervisor.

• Acts as a resource for pre-authorization, patient registration,
  
  

physician offices, and insurance companies calling with questions

related to ICD or CPT codes.

• Review pertinent literature and keep up with current coding
  
  

challenges.

• Maintains confidentiality of all hospital and patient information at
  
  

all times. Follows HIPAA regulations and policies.

• Communicate with patients, physicians, families and co-workers in
  
  

person or on the telephone.

• Provides professional customer service and responds in phone,
  
  

personal or through electronic communication.

• Regular and predictable attendance is an essential job function.
  
  

**Minimum Qualifications:**

• High school diploma or equivalent
• Coding certification: AAPC, RHIT, RHIA, CCS or CCS-P required.
• 3 years\' experience required
• Demonstrated thorough knowledge of ICD coding conventions and CPT
  
  

coding principles and meet the recommended AHIMA coding

competencies.

• Thorough knowledge of ICD/DRG coding optimization, and CPT coding
  
  

principles including APC payment methodologies for outpatient

hospital services is preferred.

Full time, 40 hours per week, Joint position.