What are the responsibilities and job description for the Coder 2 position at Wellstar Health System, Inc.?
Overview
The OP Coder 2 position reports directly to the Supervisor of Coding. Key responsibilities of the role include: Reviewing documentation in same day surgery and observation medical records, and accurately and completely assigning appropriate ICD-10-CM diagnostic and procedural CPT-4/HCPCS codes to the greatest specificity, and assigning the most accurate APC when appropriate. Abstracts demographic and coding information accurately and completely
Responsibilities
Core Responsibilites and Essential Functions
Codes and abstracts medical records with a minimum of 95% accuracy:
* Accurately and completely assigns appropriate ICD-10-CM diagnostic and CPT-4/HCPCS procedural codes to the greatest specificity, assigning the most accurate DRG/APC, when appropriate and in accordance with Official Guidelines for Coding and Reporting and Facility Coding Guidelines, as applicable
* Accurately and completely abstracts all required patient demographic data into the EMR
* Accurately assigns correct APC
* Meets productivity standards
* Queries providers, if needed to further clarify code Manages additional coding responsibilities, contributing to the CFB (candidate for bill) goals, including but not limited to:
* Resolves coding edits and reminders, correcting abstracting and coding issues in a timely manner (1-2 business days)
* Completes and routes problem accounts, ready to code, high dollar and other accounts daily to ensure cases are coded as close to goal date as possible
* Completes assigned work by goal date
* Assists with coding unassigned or backlogged accounts
* Accurately capture the surgical CPT code(s) for pre-certification reconciliation for each of the WHS facilities, as needed Other task as assigned:
* Serves as a mentor to new coders
* Assist with cleaning up or escalating missing documentation or other work queues
* If proficient, assists with outpatient and emergency coding when needed or assigned
* Other tasks as assigned
Required for All Jobs
Performs other duties as assigned Complies with all WellStar Health System policies, standards of work, and code of conduct.
Qualifications
Required Minimum Education
High School Education Required and GED Required or equivalent. Required and Completed anatomy and physiology course(s). Required
Required Minimum Experience
Minimum 3 years acute care same day surgery and observation coding experience. Required
Required Minimum Skills
Must have demonstrated maintenance of a 95% or higher accuracy in abstracting, code and DRG assignment while meeting productivity requirements in previous roles. Ability to work in a remote environment. Computer/data entry experience. Ability to communicate with various members of the healthcare team. Ability to use Microsoft (Excel, Word).
Required Minimum License(s) and Certification(s)
Cert Coding Spec 1.00 Preferred 1.00 Cert Prof Coder 1.00 Preferred 1.00 Reg Health Information Admin 1.00 Preferred 1.00 Reg Health Information Tech 1.00 Preferred 1.00
Additional Licenses and Certifications
The OP Coder 2 position reports directly to the Supervisor of Coding. Key responsibilities of the role include: Reviewing documentation in same day surgery and observation medical records, and accurately and completely assigning appropriate ICD-10-CM diagnostic and procedural CPT-4/HCPCS codes to the greatest specificity, and assigning the most accurate APC when appropriate. Abstracts demographic and coding information accurately and completely
Responsibilities
Core Responsibilites and Essential Functions
* Accurately and completely assigns appropriate ICD-10-CM diagnostic and CPT-4/HCPCS procedural codes to the greatest specificity, assigning the most accurate DRG/APC, when appropriate and in accordance with Official Guidelines for Coding and Reporting and Facility Coding Guidelines, as applicable
* Accurately and completely abstracts all required patient demographic data into the EMR
* Accurately assigns correct APC
* Meets productivity standards
* Queries providers, if needed to further clarify code
* Resolves coding edits and reminders, correcting abstracting and coding issues in a timely manner (1-2 business days)
* Completes and routes problem accounts, ready to code, high dollar and other accounts daily to ensure cases are coded as close to goal date as possible
* Completes assigned work by goal date
* Assists with coding unassigned or backlogged accounts
* Accurately capture the surgical CPT code(s) for pre-certification reconciliation for each of the WHS facilities, as needed
* Serves as a mentor to new coders
* Assist with cleaning up or escalating missing documentation or other work queues
* If proficient, assists with outpatient and emergency coding when needed or assigned
* Other tasks as assigned
Required for All Jobs
Qualifications
Required Minimum Education
Required Minimum Experience
Required Minimum Skills
Required Minimum License(s) and Certification(s)
Additional Licenses and Certifications
Coder 2
Wellstar Health System, Inc. -
Atlanta, GA
CODER - BH
SummitRidge Hospital -
LAWRENCEVILLE, GA
Cath Lab / Cardiovascular Coder
Bluebird Staffing -
Atlanta, GA
