Coder II

Education Required: High School Diploma or Equivalent Experience Preferred: 1-2 years related experience Skills Excellent verbal and written communication skills Able to work independently and collaboratively in teams Self starter Proficient in using computers and computer systems Understands charge data entry and balancing process Licensure/Certification/Registration Required: CPC or CCS or RHIT or obtain within 3 months Position Competencies: Competencies are essential skills needed to be successful in a position. These competencies are required to help the department maintain a high level of productivity and success. Each competency will be evaluated by observation. If evaluated by another method i.e. simulation, discussion or post test please note in the comment box below each corresponding competency. Assist in daily questions by researching coding issues & demonstrating use of correct resources such as: CMS website or other coding tools available as well as the CMS website Ability to communicate with staff and physicians regularly regarding coding education and changes. Monitor denials and errors and utilize this information in a timely manner to communicate necessary coding and documentation modifications for claims payment. Charges are to be entered and balanced in batch total daily. Review audit journal at end of each day to insure charges have been posted to the appropriate physician and charge amounts are appropriate. Applies coding guidelines when reviewing medical record documentation. When required, employee must be able to review medical record documentation to insure all coding guidelines are met, if modifiers are required and if all charges have been captured. Completes special projects assigned by the Department Supervisor in a timely and accurate manner. Meets or exceeds the requested project turnaround time established by Billing Office Manager. Asks questions to insure accurate understanding of project objectives. Protect the security of medical records to ensure that confidentiality is maintained. Keeps up with the continuous changes of CMS regulations to code physician charges in accordance with rules. Reviews and assist insurance follow up staff with insurance coding denials and provide correct coding information to assist in appeals. Complies with all productivity standards to ensure claims are coded within the time frame established by billing manager.