Coder II

From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.

Responsibilities

• Accurately abstract information from the medial records into the appropriate coding systems, ensuring compliance with established guidelines.
• Determine the most appropriate diagnosis after a thorough review of the medical records. Work closely with practice staff with regards to coding and assignment of a MS-DRGs (Diagnosis Related Group) and APCs (Ambulatory Payment Classification).
• Code medical records using ICD-9-CM and CPT-4 coding rules and guidelines. Ensure through and compliant coding to support patient records and submission of billing for payment.
• Accurately sequence diagnostic and procedural codes according to organization specified procedures and assigns MSDRG/APC as appropriate. Provide codes various departments upon request.
• Enter and validate charges using appropriate tools and validates diagnoses with the medical documentation provided. 
• Compare charges on accounts with the procedures coded and identifies any discrepancies. Notify Coding Manager of any discrepancies’ and collaborates as needed to rectify the account.
• Participate in special projects and/or completes other duties as assigned. 

Qualifications

• Must have a high school diploma or equivalent required. 
• Associate degree in related field preferred. 
• Completion of college level course in medical terminology, anatomy and physiology, disease processes and pharmacology preferred.  
• Current/valid certifications required:
• Must be certified through the American Health Information Management Association (AHIMA) as one of the following: Registered Health Information Management Technician (RHIT), Registered Health Information Management Administrator (RHIA), Certified Coding Specialist (CCS), or  Certified Coding Specialist Physician Based (CCS-P)
  OR
• Must be certified through the American Association of Procedural Coders (AAPC) one of the following: Certified Professional Coder-Hospital (CPC-H) or Certified Professional Coder (CPC)
• Minimum 1 year experience