Coder II

The Coding Specialist II is an intermediate position, well trained in the current assignment of ICD-9, CPT and HCPCS codes and appropriate DRGs. Through the use of previous experience, this person is responsible for timely processing of discharged records by utilizing their skills to capture the diagnosis and procedure documentation that accurately reflects the services rendered within the medical record. They share in the same case mix management/compliance objectives that include non-CC DRGs. The coding team shares in the responsibility of managing the billing “drop date” along with the billing team from the Business Office. The CHS goal is to have the number of accounting days between patient discharge and the billing assigned through the computer system at less than three days. The coding team is under the direction of a DRG Coordinator. Occasionally the position requires additional work assignments and hours to maintain the turnaround time standards with high quality outcomes. Cooperative communication between the team and their customers: Medical Staff, Business Office, Medical Necessity, Patient Registration, Case Management, etc. is crucial to maintain a consistent, quality and efficient work flow within often demanding time frames. In addition to coding responsibilities, this individual will be cross-trained in the Tumor Registry functions. This includes completing the SEER program studies and understanding the morphology code assignments for the cancer cases.
REQUIREMENTS
Education:
Must have a high school diploma or its’ equivalent. College course work in medical terminology, Anatomy/Physiology and office computer applications leading to an Associate Degree is highly recommended.
Experience:
At least three years of previous acute care coding experience with ICD-9, APC and HCPCS codes is required. A firm foundation in DRG/APC reimbursement systems is a must.
Licenses/Certificates:
Certified as a CCS, RHIT or RHIA through the American Health Information Management Association is required.