Coder 2

About Us

Baylor Scott & White Health promotes the well-being of all individuals, families, and communities. Baylor Scott & White is the largest not-for-profit healthcare system in Texas, empowering people to live well.

Job Summary

The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. This role may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee services, including evaluation and management (E/M) coding or profee surgery. For professional fee coding, team members are proficient in both inpatient and outpatient coding for multiple specialties. The Coder 2 uses ICD-10-CM, ICD-10-PCS, HCPCS, CPT, and other coding references to ensure accurate coding and grouping assignments such as MS-DRG, APR-DRG, and APC. The role also abstracts and enters required data.

Essential Functions

• Examine and interpret documentation from medical records to complete accurate coding of diagnoses, procedures, and professional fees.
• Review diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.
• Communicate with providers regarding missing documentation and provide guidance and education when needed.
• Reconcile billing issues by explaining and correcting inaccurate charges.
• Work with revenue cycle departments to ensure coding and edits are processed timely and accurately.
• Review and edit charges.

Key Success Factors

• Sound knowledge of applicable rules, regulations, policies, laws, and guidelines that impact coding.
• Strong understanding of transaction code sets, HIPAA requirements, and issues impacting the coding and abstracting function.
• Sound knowledge of anatomy, physiology, and medical terminology.
• Demonstrated proficiency with computer applications, group software, and Correct Coding Initiative (CCI) edits.
• Strong knowledge of ICD-10 diagnosis and procedural coding and CPT procedural coding.
• Ability to interpret health record documentation to identify procedures and services for accurate code assignment.
• Flexibility and adaptability while balancing regulatory and accreditation requirements.