Responsible for timely and accurate coding of hospital based professional services (outpatient hospital or inpatient hospital; single services or complete inpatient stays)
Reading and/or reviewing medical record documentation to assign and sequence diagnoses and procedure codes according to coding guidelines
Entering appropriate diagnoses codes, professional service codes and modifiers and/or facility service/ charge codes
Assigning and recording appropriate modifiers as appropriate based on Teaching Physician rules
Maintaining a current knowledge of ICD diagnosis codes, CPT physician service codes, internal codes and governmental regulations
Accruing sufficient continuing education hours to maintain national coding certification
Serving as a resource for less experienced medical coders
Working collaboratively with team members, Corporate Revenue Cycle, and Compliance Analysts to answer questions and/or resolve issues related to documentation, coding and billing of professional services and/or facility services
Providing physician education to ensure documentation is sufficient for greatest accuracy of coding

High school diploma or GED equivalent
Two years of medical coding experience in a similar environment
National coding certification (CPC or CCS)
Familiarity with Medicare Teaching Physician Rules
Familiarity with facility fee services within a Provider Based clinic
Ability to meet and maintain performance standards of quality and productivity for Level II Coder by department

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short
and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Professional Coder II – Risk Management

About this role