Coder II

Summary

Analyzes and translates medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes, such as CPT/ICD10-CM and Modifiers. Codes simple and some complex procedures such as Surgery and Interventional Radiology. Codes Evaluation and Management Services (E/M). Models appropriate behavior as exemplified in MLH Mission, Vision and Values.

Education/Experience/Licensure

Knowledge/Skills/Abilities

• Strong knowledge of medical and clinical terminology, disease processes, GI procedures, general surgery procedures and pharmacology.
• Strong knowledge of CPT/ICD-10-CM and Modifiers.
• Proficient skills in computer programs.
• Attention to detail.
• Ability to understand and interpret coding guidelines, payer policies and medical charts.
• Ability to examine documents for accuracy and completeness.
• Ability to conduct tasks and assignments and contributes to team objectives and outcomes as guided.

Key Job Responsibilities

• Reviews patient information, assigns CPT/ICD-10-CM codes and Modifiers, and sequences codes for billing, insurance, and reporting purposes. Codes simple and some complex procedures such as Surgery and Interventional Radiology. Codes Evaluation and Management Services (E/M).
• Discusses documentation inconsistencies with providers.
• Assist with patient accounts.
• Assists in educating physicians and staff in requirements of documentation for proper reimbursement.

Physical Requirements

• The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
• Must have good balance and coordination.
• The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
• The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
• The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work.