Coder II, Corporate Coding, Outpatient Ancillary Services

Using established policies and procedures, the Certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes needed for billing. The role codes inpatient, observation, outpatient, clinics, ancillary services, ambulatory surgery, series, emergency room cases, and, based on experience, highly complex inpatient records such as trauma, burns, open heart, and transplant cases.

Coding quality

• Review inpatient, ambulatory, observation, emergency, and outpatient accounts to assign accurate ICD-10 and/or CPT codes and DRGs.
• Interpret health record content to ensure diagnoses and procedures are supported by physician documentation.
• Maintain a coding accuracy rating of at least 95% on assigned records.
• Query physicians when necessary to ensure documentation supports assigned codes.

Coding productivity

• Perform coding on medical records efficiently while meeting productivity standards.
• Complete productivity data correctly and in a timely manner.

Billing edits, coding corrections, and DRG changes

• Review, research, and resolve claim edits for billing purposes.
• Review records following feedback from payers, auditors, and managers, and make corrections to coding, disposition, and/or DRG assignment when indicated.

Accountability

• Review educational materials thoroughly and apply new information when coding.
• Seek clarification when needed.
• Maintain organized information and resources for easy reference.
• Review and respond to emails promptly.
• Manage the remote work setting effectively and come on site when system, connectivity, or other issues affect work performance.