Coder II

DaMar Staffing; Shelby Charter Township (MI); On-site; USD 42,000 - 65,000; Full time

Job summary

DaMar Staffing is seeking a skilled Medical Coder to accurately assign ICD-10-CM, CPT-4/HCPCS and ICD-10-PCS codes for inpatient and outpatient records. You will determine principal diagnoses, co-morbidities and surgeries, with charge validation and modifier application as needed.

Ideal candidates have 2 years of coding experience and AHIMA or AAPC certification. A healthcare-related degree is required, with a focus on accuracy and compliance.

Qualifications

• 2 years of Facility Inpatient, Outpatient or Professional Coding experience.
• Associate's degree in HIT, Applied Science, Liberal Arts or other healthcare related field.
• Certification from AHIMA or AAPC as listed above.

Responsibilities

• Code inpatient and outpatient records, assign ICD-10-CM, CPT-4/HCPCS and ICD-10-PCS codes.
• Determine principal diagnosis, co-morbidities, complications and procedures.
• Perform charge validation and apply appropriate evaluation and management modifiers.
• Research NCD/LCD guidelines to ensure clean claim submissions.
• Meet 95% accuracy and production standards.

Education

RHIA/RHIT/CCS

CPC/CCC/COC/CIC/CHONC

ROCC (Radiation Oncology Certified Coder)

Job description

Position Summary:

Responsible for coding inpatient or outpatient records review documentation and properly identifies and assigns ICD-10-CM, CPT-4/HCPCS and/or ICD-10-PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities and complications, secondary conditions, and surgical procedures.

Essential Functions and Responsibilities as Assigned:

1. Responsible for outpatient coding and charge validation (charge entry) in multiple specialties
2. Responsible for coding (inclusive of <30 days of LOS and >30 days of LOS)
3. Reviews, identifies and assigns ICD-10-CM, CPT-4 with charge validation and ICD -10-CM/ICD -10-PCS codes
4. Applies (charge entry) appropriate soft codes for evaluation and management level(s), observation hours, injections, infusions, and other procedures as necessary.
5. Validates CPT -4 codes (charges) captured by McLaren departments such as hard-coded charges for services provided on specific encounters.
6. Performs research and investigation regarding National Coverage Determinations (NCD) and Local Coverage Determinations (LCD) guidelines, related to the assignment of modifiers, to ensure the submission of a clean claim.
7. Determines the correct principal diagnosis, co-morbidities and complications, secondary conditions, and surgical procedures.
8. Meets and/or exceeds the established quality standard of 95% accuracy rate while meeting and/or exceeding production standards.

Qualifications:

Required:

• Associate's degree in HIT, Applied Science, Liberal Arts or other healthcare related field.
• 2 years of Facility Inpatient, Outpatient or Professional Coding experience.
• Certified in one of the following:
  • AHIMA Certification (such as: RHIA, RHIT, CCS)
  • AAPC Certification (such as: CPC, CCC, COC, CIC, CHONC etc.)
  • AMAC Certification such as: ROCC (Radiation Oncology Certified Coder)

Preferred:

• 3 years of Facility Inpatient, Outpatient or Professional Coding experience.