Coder II - Emergency Department
Aurora Health Care
Major Responsibilities:
Reviews medical documentation at a proficient level from clinicians, qualified health professionals and hospitals in order to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations an EMR and/or Computer Assisted Coding software.Adheres to the organization and departmental guidelines, policies and protocols.Reviews all clinician documentation to support assigned codes in the health information record so that all significant diagnoses and procedures may be captured for reimbursement and data purposes.Conduct independent research to promote knowledge of coding guidelines, regulatory policies and trends.Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Practices ethical judgment in assigning and sequencing codes for proper insurance reimbursement.Maintains the confidentiality of patient records. Reports any perceived non-compliant practices to the coding leader or compliance officer.Meets then exceeds departmental quality and productivity standards.Recommend modifications to current policies and procedures as needed to coincide with government regulations.Responsible for processing Coding Claim Denials and Coding Claim Rejections, when applicableLicensure, Registration, and/or Certification Required:
Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA)
Education Required:
Experience Required:
Knowledge, Skills & Abilities Required:
Physical Requirements and Working Conditions:
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
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