The Hospital Coder II reviews and accurately codes and abstracts the most complex hospital services such as same day surgeries, in-patient procedures, overnight / multi-night stay services and all other complex medical services.
The Hospital Coder II utilizes appropriate coding guidelines to assign ICD and CPT codes.
Must understand and conform to applicable Medicare, Medicaid and other third party payor guidelines to ensure receipt of accurate reimbursement.
Work in collaboration with the Clinical Documentation Improvement team to ensure accurate DRG assignment.
Work closely with management to resolve problems and meet deadlines.
Requirements
High School diploma or equivalent required
Certified Coding Specialist (CCS) required or 3 years of inpatient coding experience in lieu of CCS
Above educational qualifications can be substituted for: 3 – 6 years of coding experience OR demonstrated success in coding complex medical services with consistent accuracy.
Knowledge of ICD-10 coding principles and guidelines
Basic computer skills
Effective communication skills – both verbal and written
Decision making, problem solving and analytical skills