Coder II, PBO Coding, Full Time, First Shift

Reviews inpatients, ambulatory, observation, emergency and outpatient accounts to assign accurate ICD-10 and/or CPT codes and DRG’s.

Interprets health record content to ensure that all diagnoses and procedures coded are supported by physician documentation.

Maintains a coding accuracy rating of at least 95% on records assigned.

Queries physicians when necessary to ensure documentation supports the codes assigned.

Performs coding on medical records in an efficient manner meeting productivity standards and assisting the department in meeting and maintaining its goals.

Completes productivity data correctly and timely.

Billing edits, coding corrections, DRG changes:

Reviews, researches, and resolves claim edits for billing purposes.

Reviews records following feedback from payers, auditors and managers and makes corrections to coding, disposition and/or DRG assignment when indicated.

Reviews educational materials thoroughly and takes responsibility for applying this information when coding.

Seeks to clarify information and educational material when necessary.

Listens actively.

Maintains information and resources in an organized manner so that information can be referenced easily.

Reviews emails timely and thoroughly and responds when indicated.

Manages the remote work setting effectively and comes on site when system, connectivity or other issues arise that would impact work performance.