Senior Medical Coder II

Marion County Public Health Department; Indianapolis (IN); On-site; USD 55,000 - 75,000; Full time

Job summary

The Professional Coder at Eskenazi Health provides timely and accurate clinical coding and abstraction of inpatient and outpatient services to support compliant reimbursement, research, and quality initiatives. The role covers professional and facility services including E&M, diagnostic and ancillary services.

You will review documentation, ensure coding accuracy, assist with training, and collaborate with physicians and AR specialists.

Qualifications

• Requires a minimum of High School diploma and coding credential from AHIMA or AAPC.
• Requires a minimum of 3 years of coding experience in ICD-10, CM, CPT-4, and HCPCS coding classification systems, preferably in a physician and/or mental health physician office//hospital setting.
• Dental, vision, and/or DME coding a plus.

Responsibilities

• Coding and Abstracting: Identifies and assigns the appropriate diagnosis, procedure, and evaluation and management (E&M) codes in accordance with coding guidelines and departmental standards; audits notes from providers to ensure the provider is coding in a compliant manner according to governmental rules and regulations; provides feedback to the provider if there are any questions or concerns; meets with providers face-to-face to review documentation and coding guidelines as necessary; maintains acceptable levels of performance related to productivity and quality standards
• Charge Entry: Captures charges accurately based on documentation, and integrates charges and codes appropriately; makes suggestions for additions to the fee schedules based upon recognition of new procedures and/or supplies
• Problem Solving: Utilizes available resources appropriately to maintain quality and consistency in coding, abstraction, and charge entry processes; follows a defined process to query the medical staff for completion and/or clarification of documentation necessary to ensure coding compliance and accuracy; brings any concerns/issues to management’s attention with examples within the same date of discovery.
• Medical Necessity: Recognizes cases that require specific medical necessity coverage diagnoses, and applies Local Coverage Determination (LCD) policies as necessary
• Helps Accounts Receivable Specialists with questions and concerns to ensure claims are compliant and accurate for submission and payment
• Assists with training of new team members
• Software Applications: Utilizes applicable software to retrieve documentation, abstract data/codes, and retrieve work lists
• Stays updated on program specific changes where applicable.

Skills

LCDs

CCI edits

Healthcare billing

E&M guidelines

Medical record documentation

Computer skills

Clinical documentation improvement

Concurrent coding

Excellent communication

Teamwork

Education

High School diploma

AHIMA/AAPC credential

Job description

The Professional Coder at Eskenazi Health provides timely and accurate clinical coding and abstraction of inpatient and outpatient services to support compliant reimbursement, research, and quality initiatives. The role covers professional and facility services including E&M, diagnostic and ancillary services.

You will review documentation, ensure coding accuracy, assist with training, and collaborate with physicians and AR specialists.