Medical Coder II

Mercy Medical Center; United States; On-site; USD 30,000 - 47,000; Full time

Job summary

Mercy Medical Center in Cedar Rapids seeks a medical coder to accurately code hospital and professional services using ICD-10-CM/PCS and CPT/HCPCS for reimbursement and analytics.

The role requires adherence to coding guidelines, medical necessity, and regulatory compliance. AHIMA or AAPC certification is required, with an associate degree or coding certificate preferred and prior coding experience preferred.

Qualifications

• Knowledge of ICD-10-CM/PCS, CPT/HCPCS coding and medical necessity guidelines.
• Reading and interpreting medical record documentation including laboratory and pharmacology data.
• Experience with coding for hospital and professional services preferred.

Responsibilities

• Codes the correct principal/primary diagnosis with high accuracy.
• Identifies all significant diagnoses (HCCs) relevant to visit and assigns appropriate codes.
• Codes procedures and principal procedures per guidelines.
• Ensures coded data reflect clinical severity and grouping.
• Adheres to official coding guidelines and regulations.
• Validates outpatient accounts for medical necessity per policies.
• Applies charge data for services rendered.
• Completes coding per service production standards.
• Verifies and corrects abstract data.
• Assists with student internship coding training.

Skills

ICD-10-CM/PCS

CPT/HCPCS coding

Medical necessity guidelines

Record review

Detail orientation

Independent work

Microsoft Office

Education

Associate degree in health information technology

Coding certificate program

RHIT/RHIA or CPC/AAPC certification

Tools

Microsoft Office

Job description

Work Shift Day Scheduled Weekly Hours 24 Summary This position supports Mercy's philosophy of patient centered care by the timely and accurate coding of hospital or professional services using ICD-10-CM/PCS and CPT/HCPCS classification systems for the purpose of reimbursement, research, and statistics in compliance with federal regulations.

Job Duties

• Codes the correct principal/primary diagnosis consistent with established coding guidelines (95% or greater accuracy).
• Identifies all significant diagnoses (HCCs) relevant to the type of visit and assigned appropriate codes.
• Codes procedures as appropriate and identifies the principal procedure consistent with established coding guidelines.
• Ensures all conditions coded adequately reflect the appropriate clinical severity and grouping assignment in accordance with documentation.
• Follows official coding guidelines and directives and uses reference materials to ensure codes assigned are in compliance with state and federal regulations.
• Validates outpatient accounts for medical necessity based on local medical review policies (LMRPs), national coverage determinations (NCDs) or payer guidelines.
• Applies charge data as appropriate for services provided.
• Completes coding consistent with established production standards for type of service.
• Verifies and corrects all abstract data captured.
• Assists with student internship coding training.
• Codes accounts for assigned area(s) within hospital or specialty.
• In addition, hospital coders will have provide coding for one additional area.
• Follows Mercy's safety guidelines, carries out job-specific safety duties and responsibilities, and promptly reports any unsafe conditions, situations, incidents and injuries.

Knowledge, Skills and Abilities

• Knowledge of ICD-910CM/PCS, CPT/HCPCS coding and medical necessity guidelines.
• Knowledge of various coding groupers used for various payers and types of encounters.
• Ability to read and interpret medical record documentation including laboratory and pharmacology data.
• Knowledge of Microsoft Office tools (excel, outlook, word).
• Strong computer background with basic typing and keyboarding skills.
• Work prioritization skills needed.
• Ability to concentrate on detail tasks for long periods of time.
• Ability to work independently and communicate effectively.

Professional Experience

Previous coding experience preferred.

Education

Associate of Applied Science degree or bachelor's degree in health information technology or completion of coding certificate program preferred.

Licensure, Certification, Registration

AHIMA or AAPC coding certification (e.g. RHIT, RHIA, CCA, CCS, CCS-P, CPC, CPC-A) is required.

Physical Requirements

Sedentary: Exert up to 10 lbs. of force occasionally and/or a minute amount frequently

Pay Rate Type Hourly

About Mercy

Mercy is an independent, community-based organization supporting the Cedar Rapids area for over 120 years.

Mercy is an equal-opportunity employer. We value diversity, equity, and inclusion and therefore evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status, and other legally protected characteristics.

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