[Hiring] Certified Coder II @DRISCOLL HEALTH PLAN

Role Description

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required.

• Always maintains utmost level of confidentiality.
• Adheres to hospital policies and procedures.
• Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines.
• Reviews the medical record and assigns the appropriate ICD and CPT codes.
• Codes all assigned outpatient record types daily.
• May assist with audits as needed.
• Monitors assigned charge review work queue.
• Codes records in a timely manner.
• Maintains satisfactory coding performance in accordance with the department’s accuracy target and productivity requirements for each record type.
• Assists with billing staff coding questions to assist with denials.
• Responds to coding requests from internal and external customers, i.e. business office, physician office.
• Requests information needed from physician as needed.
• Participates in attending educational programs, hospital and departmental staff meetings.
• Performs other duties as required by CBO Coding Manager and/or Director.

Qualifications

• High school diploma or general education degree (GED); or Associate's degree (A. A.) or equivalent from two-year college or technical school.
• Three to five years related experience and/or training; or equivalent combination of education and experience.
• 3 - 5 years’ physician coding experience preferred.
• Pediatric multi-specialty coding experience preferred.

Requirements

• Certified as any of the following: CCS, CCS-P, CPC, AAPC specialty coding certifications, RCC Radiology coding certification.
• Must maintain continuing education hours to maintain certification.