Coder II CCS, Marshall Medical Centers, South, Part-Time, Days

AAPC; Boaz (AL); On-site; USD 52,000 - 75,000; Full time

Job summary

AAPC is seeking a Coder 2 to evaluate diagnostic and procedural information in medical records and assign APCs for reimbursement. The role involves verifying clinical data and determining medical necessity for Medicare/Medicaid outpatient testing, under supervision of the Coding Manager and Director of Health Information Management.

Qualifications include a high school diploma, 2+ years in Health Information Management, 1 year outpatient coding experience, and preferred RHIA/RHIT/CCS or CPC-H

Qualifications

• High school diploma or equivalent.
• 2 years or more in Health Information Management.
• 1 year experience in outpatient coding.
• RHIA, RHIT, CCS or CPC-H certification preferred.
• Certification must be obtained within one year of employment.

Responsibilities

• Code diagnoses and procedures for Day Surgery, Emergency Department, Cancer Center, Wound Center, Special Procedures, and other outpatient service types.
• Determine APC assignment for reimbursement of services rendered.
• Verify/abstract clinical information into the organization's health database.
• Make medical necessity determinations for Medicare and Medicaid outpatient testing using the appropriate software.
• Work under the direct authority and supervision of the Coding Manager and Director of Health Information Management.

Education

High school diploma

Job description

Coder 2

The following statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements, which may be inherent in the position.

A coder 2 is responsible for utilizing coding policies and procedures in evaluating the diagnostic and procedural information within the medical record for determination of accurate APC assignment for reimbursement of services rendered and for verifying/abstracting clinical information into the organization's health database. A coder 2 also makes medical necessity determinations for Medicare and Medicaid out-patient testing utilizing the appropriate software.

A coder 2 functions under the direct authority and supervision of the Coding Manager and Director of Health Information Management.

Some of the many skills performed:

• Coding of diagnoses and procedures for:
  • Day Surgery
  • Emergency Department
  • Cancer Center
  • Wound Center
  • Special Procedures
  • Other Outpatient Service Types

Qualifications

EDUCATION:

High school graduate or equivalent

2 years or more in Health Information Management

1 year experience in outpatient coding

LICENSURE/CERTIFICATION:

RHIA, RHIT, CCS or CPC-H certification preferred

Certification must be obtained within one (1) year of employment