Title: Coder II Job

Date: Apr 11, 2024

Facility: Corporate (0100)

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

	Education/Formal Training	Work Experience	Credential/Licensure
REQUIRED:	High school graduate or equivalent	Must have at least two (2) years of coding experience	One of the following Required: Certified Professional Coder (CPC) through AAPC (American Academy of Professional Coders) Certified Coding Specialist – Physician (CCS-P) through AHIMA (American Health Information Management Association) Currently possess a Specialty certification under AAPC (American Academy of Professional Coders) Registered Health Information Technician (RHIT) through AHIMA (American Health Information Management Association)
PREFERRED:	Associate’s degree in billing and coding from an accredited school	N/A	N/A
SUBSTITUTIONS ALLOWED:	N/A	N/A	N/A

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.