Clinical Coder II

High school diploma or equivalent and three years of professional medical coding experience.

Appropriate college coursework or vocational/technical training may substitute at an equivalent rate for the required experience.

Certified Professional Coder (CPC)/ American Academy of Professional Coders (AAPC) or Certified Coding Specialist (CCS-P) required.

The Clinical Coder II performs highly technical and specialized functions and is primarily responsible for performing CPT, HCPCS and ICD-10 coding in accordance with all UFP, B/AR and department standards related to billing protocols and compliance.

The Coder II reviews, analyzes, and codes diagnostic and procedural information that determines insurance payments.

The Coder II is also responsible for performing various administrative and clerical duties and on an as needed basis.

Include: Completion of coding including data entry Epic, Cadence and Resolute.

Accurately identifies and codes services using appropriate source documents (clinic note, chart documentation, dictated note or operative report) diagnoses and procedures performed by physicians using ICD-10-CM and CPT classification system.

Posts all charges daily using appropriate ICD-10 and CPT codes, insurance FSC’s, modifiers, and includes pre-certification numbers, referring physicians, secondary providers and documentation when applicable.

Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.

Review the records for compliance with established third-party reimbursement agencies and special screening criteria.

Maintains up-to-date knowledge base of current coding and compliance information/guidelines.

Maintains knowledge base of coding and compliance information.

$23 - $25 Hourly

High school diploma or equivalent and three years of professional medical coding experience.

Appropriate college coursework or vocational/technical training may substitute at an equivalent rate for the required experience.