Med Rec Coder II

Reviews system edits and assigns appropriate codes from appropriate coding classification system to ensure the production of quality healthcare data and accurate professional payment. Prepares reports for designated leader(s).

Responsibilities

Reviews system edits and assigns appropriate codes from appropriate coding classification system to ensure the production of quality healthcare data and accurate professional payment; Prepares reports for designated leader(s); Uses knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign appropriate codes through medical record documentation as per designated workflow; Completes system edit reviews to make corrections before transmittal; Ensures work queue and responsibilities are handled within established guidelines and timeframes; Troubleshoots problems that prevent claims from being released; Identifies cause of edit and independently resolves issue by reviewing the patient encounter to understand the nature of the problem; Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete; Prepares reports for designated leader to document recurring problems and identifies the source of reimbursement delays; Works closely with designated leader to ensure effective communication to resolve invoice payment delays; As necessary, provides Providers and other staff with information relative to coding; Responds to coding information requests and inquiries from various sources; Other duties as assigned

Requirements

High School diploma or equivalent and less than 1 year of relevant experience; Or equivalent combination of education and experience

Nice to have

Knowledge of ICD-10CM, CPT and HCPSC; Working knowledge of medical terminology and anatomy; American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS); Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute