Coder II (Outpatient-SDS)

San Antonio Regional Hospital; Upland (CA); On-site; USD 40,000 - 59,000; Full time

Job summary

San Antonio Regional Hospital seeks a Coder II to code outpatient surgical, interventional radiology/cardiology procedures and Observation accounts. Responsibilities include reviewing patient records to assign accurate codes, and entering charges for Observation hours, infusions, injections, and bedside procedures while complying with CMS and Coding Clinic guidelines.

The role requires knowledge of ICD-10-CM and CPT coding, and a strong ability to interpret organizational policies and

Qualifications

• Data Entry proficiency.
• Medical terminology (basic and advanced).
• Human anatomy and physiology, pathology and microbiology required.
• Knowledge of ICD-10-CM & CPT coding.
• Ability to interpret policies and procedures.

Responsibilities

• Code outpatient surgical, interventional radiology/cardiology procedures and Observation accounts.
• Review patient records to assign appropriate codes.
• Enter charges for Observation hours, infusion and injections, and bedside procedures.

Skills

Data Entry

Medical terminology

Anatomy & physiology

ICD-10-CM & CPT coding

Policy interpretation

Education

AHIMA approved coding program

High School Diploma or GED

Job description

JOB SUMMARY

The Coder II is primarily responsible for coding of outpatient surgical, interventional radiology / cardiology procedures and Observation accounts. This position is responsible for reviewing the entire patient record including the electronic record to assign appropriate codes for the following areas: Outpatient: Day patients, cardiac catherterization lab, other interventional radiology and Observation patients and Labor and Deliver Observation. Coding should be complete, timely, and in accordance with CMS, Coding Clinic Guidelines, CPT Assistant, and organizational policies and procedures. The Coder II is responsible for entering charges for Observation hours, infusion and injections, and bedside procedures for Observation and Labor and Delivery Observations accounts following all regulatory requirements. Strong knowledge of appropriate modifier use.

Overview

JOB SUMMARY

The Coder II is primarily responsible for coding of outpatient surgical, interventional radiology / cardiology procedures and Observation accounts. This position is responsible for reviewing the entire patient record including the electronic record to assign appropriate codes for the following areas: Outpatient: Day patients, cardiac catherterization lab, other interventional radiology and Observation patients and Labor and Deliver Observation. Coding should be complete, timely, and in accordance with CMS, Coding Clinic Guidelines, CPT Assistant, and organizational policies and procedures. The Coder II is responsible for entering charges for Observation hours, infusion and injections, and bedside procedures for Observation and Labor and Delivery Observations accounts following all regulatory requirements. Strong knowledge of appropriate modifier use.

Minimum Qualifications

Education

High School Diploma or GED preferred. Completion of AHIMA approved coding.

Experience

Two years coding experience in an acute care facility outpatient surgery department, a stand alone ambulatory surgery center, or emergency/urgent care center, using ICD-10-CM, CPT coding, and APC grouper. Two years experience manually charging on either ER, Observation, or Labor and Delivery accounts following regulatory and facility guidelines preferred.

Knowledge and Skills

Data Entry proficiency. Medical terminology (basic and advanced). Human anatomy and physiology, pathology and microbiology required. Knowledge of ICD-10-CM & CPT 4. Ability to understand and interpret policies and procedures. Ability to interpret medical record documentation for accuracy and completeness.

License/Certifications

Current Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) Certificate required.

Equipment

Proficient in use of computers.

Physical Requirements

Must be able to perform the essential physical requirements of the job.

PAY RANGE

$28.52 - $42.78

The posted pay range reflects the lowest to highest pay that was available for this position at the time of posting and may be subject to change. Salary offers are determined by candidate’s relevant experience and skills. For per diem positions, a standard rate is used based on market data and not the candidate’s individual experience.