Job Description

HIM Coder II

HIM Coder II is responsible for coding a variety of services. Those services can include hospital outpatient, surgical services, hospital and clinic professional services as well as procedures and any ancillary services. The coder will be responsible for accurately assigning ICD-10 codes, CPT and HCPCS codes in accordance with Monument Health guidelines, Official coding guidelines, and payor standards.

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include: supportive work culture , medical, vision, and dental coverage , retirement plans, health savings account, and flexible spending account , instant pay is available for qualifying positions, paid time off accrual bank , opportunities for growth and advancement , tuition assistance/reimbursement , excellent pay differentials on qualifying positions (extra pay for working evening, nights or weekends), and flexible scheduling .

Essential Functions:

• Review and abstract information in the medical record to accurately code for that episode of care.
• Code hospital and professional services by accurately assigning ICD-10, CPT and HCPCS codes for appropriate billing.
• Apply knowledge of medical science, medical terminology, anatomy and physiology and the official coding guidelines to select the correct codes.
• Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local and National Coverage Determinations (LCD, NCD's), Medically unlikely edits (MUE's) and Medicare guidelines.
• Participate in coding education and training.
• Provide ongoing feedback to physicians and staff regarding coding guidelines and requirements.
• Query providers for missing documentation.
• Resolve payor edits and denials and respond to other teams including, compliance, revenue integrity and billing.
• Navigate and utilize encoder, grouper software and other coding resources.
• Maintain coding productivity and accuracy standards.
• Assist with patient audits. Obtains necessary information.
• All other duties as assigned.

Additional Requirements:

Required: Education - High School Diploma/GED Equivalent in General Studies

Preferred: Experience - 1+ years of Coding Experience Certifications - Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Certified Professional Coder - Apprentice (CPC-A) - American Academy of Professional Coders (AAPC)

Physical Requirements: Sedentary work - Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time.

Job Category: Revenue Cycle

Job Family: Health Information Management

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

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