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Coder II CCS, Marshall Medical Centers, South, Part-Time, Days

BoazOn-site

AI Summary

A Coder II evaluates diagnostic and procedural information in medical records to assign accurate APC codes for outpatient reimbursement, verifies clinical data, and makes medical necessity determinations for Medicare and Medicaid, functioning under the supervision of the Coding Manager.

About this role

Overview

The following statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements, which may be inherent in the position.

A coder 2 is responsible for utilizing coding policies and procedures in evaluating the diagnostic and procedural information within the medical record for determination of accurate APC assignment for reimbursement of services rendered and for verifying/abstracting clinical information into the organization's health database. A coder 2 also makes medical necessity determinations for Medicare and Medicaid out-patient testing utilizing the appropriate software.

A coder 2 functions under the direct authority and supervision of the Coding Manager and Director of Health Information Management.

Some of the many skills performed

· Coding of diagnoses and procedures for:

o Day Surgery

o Emergency Department

o Cancer Center

o Wound Center

o Special Procedures

o Other Outpatient Service Types

Qualifications

EDUCATION:

· High school graduate or equivalent

· 2 years or more in Health Information Management

· 1 year experience in outpatient coding

LICENSURE/CERTIFICATION:

· RHIA, RHIT, CCS or CPC-H certification preferred

· Certification must be obtained within one (1) year of employment

Skills

APC AssignmentCoding SoftwareCPTData AbstractingHCPCSHealth Information ManagementICD-10-CMMedicaidMedical Necessity DeterminationMedicareOutpatient Coding

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