Certified Professional Coder

Demonstrates Huntsville Hospital Health System's mission, vision, and values through daily behavior.

Responsible for accurate coding assignments of services performed in medical office, hospital, and outpatient surgical settings for physician and non-physician professional fees. Using provider documentation, supporting clinical records, training, expertise, and coding software, the coder assigns and confirms diagnoses and procedures in the patient medical record.

Coding follows current ICD-10-CM, CPT, and HCPCS Level II standards in accordance with official coding guidelines from the American Medical Association and AAPC Codify. Work must align with Decatur Morgan Hospital policies and procedures.

Key responsibilities

• Review provider documentation to determine principal diagnosis, conditions, and surgical procedures.
• Assign ICD-10-CM diagnosis and procedure codes for Medicare and non-Medicare encounters.
• Assign ICD-10-CM and CPT codes for outpatient procedures and surgery encounters.
• Sequence diagnosis and procedure codes correctly.
• Use coding principles and reimbursement expertise to assign appropriate codes.
• Work Alpha II edits and support billing corrections.
• Assign discharge disposition for inpatient or observation encounters.
• Compile reports of incomplete records and monitor pending charge reports.
• Coordinate with the PBO team on billing and coding issues.
• Communicate with physicians to ensure complete and accurate documentation.
• Process codes and accounts according to the 2- to 3-day rule.
• Assist with RAC audits, denied claims, appeal letters, and medical necessity reviews.
• Support correct assignment of charge description master codes.
• Remain current on Coding Clinic and CPT Assistant guidance.
• Collect and analyze special project data.
• Protect confidentiality and provide accurate, timely information.
• Maintain equipment and perform additional duties as assigned.