Coder II SOP (SDS/OBV)

Req No
2017-4116
Type
Regular Full-Time

Overview

Provides Observation, Outpatient Surgery, Interventional Radiology, Cardiac Catheterization, and Wound Care coding support to Ardent hospitals.  Reviews patient records and assigns accurate codes for each diagnosis and procedure.  Applied knowledge of medical terminology, disease processes, and pharmacology.  Demonstrates tested data quality and integrity skills. 

 

This individual will be required to make independent decisions regarding accurate ICD-10-CM & PCS, and CPT / HCPCS codes assignments.  These decisions will play a key role in determining the reimbursement potential of Ardent and adherence to coding compliance regulations and corporate policies developed to ensure accurate billing.

Peak Health Solutions, an AMN Healthcare company, is an EEO/AA/Disability/Protected Veteran Employer We encourage minority and female applicants to apply.

Responsibilities

  • Performs remote coding for Ardent hospitals via scanned medical records and abstracts via access to hospital abstracting systems as part of a corporate coding organization.
  • Codes Observation, Outpatient Surgery, Interventional Radiology, Cardiac Catheterization, and Wound Care records.
  • Consults Manager, Corporate Coding or other available resources and works out difficult codes and/or coding problems.
  • Attends coding education as scheduled.
  • Other duties may be assigned
  • Mandatory overtime may be required based on business needs
    • 10 hour days up to 5 days a week
    • Up to 8 hours for weekends

Qualifications

Certificates and Licenses:

  • Preferred to have 1 or more of the following certifications (CPC, CCA, CCS, RHIA, or RHIT).

 

Education/Experience:

  • Minimum 2 (two) years of acute care hospital outpatient coding experience preferred
  • ICD-10-CM & PCS trained, required
  • Maintains productivity levels set forth by Ardent while maintaining a 95% coding accuracy rate.
  • Thorough knowledge of the related prospective payment systems (PPS)
  • Broad knowledge of pharmacology indications for drug usage and related adverse reactions
  • Knowledge of ancillary testing (laboratory, X-ray, EKG)
  • Knowledge of anatomy, physiology, and medical terminology
  • Understanding of coding practices and official guidelines
  • Experience with PC, mainframe applications, and encoding systems
  • Strong time management skills to balance coding responsibilities

 

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

Reasoning Ability:

Ability to define problems, collect data, establish facts, and draw valid conclusions as it relates to review of medical record documentation and accurate selection of codes.

 

Computer Skills:

To perform this job successfully, an individual should have knowledge of Word Processing software; Spreadsheet software and Database software and be comfortable working in a remote environment and following instructions related to basic problem troubleshooting of own computer setup.

 

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Work is routinely performed in a home office setting.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  Travel will be less than 5%. 

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