Job Description

The Coder II reviews outpatient records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines with 97% accuracy rate, while maintaining coding standards for productivity. This position reviews outpatient records and assigns codes according to outpatient rules. The Coder II may be responsible for ER Facility Charging, if applicable. This position follows up on outstanding unbilled accounts on a regular basis. This positon does not have excessive re-bills.

Responsibilities

• Reviews patient surgical medical records (hospital outpatient or professional fee) and accurately assigns appropriate ICD 10 CM, CPT, and HCPCS codes per official guidelines and payer-specific rules.
• Applies correct sequencing guidelines based on facility or professional coding conventions.
• Reviews medical record documentation to ensure accuracy and completeness to support assigned diagnoses, procedures, charges, and modifiers.
• Maintains current knowledge of surgical coding guidelines, outpatient facility rules, professional fee billing requirements, payer updates, and annual code set changes.
• Communicates questions or concerns to the leadership or stakeholders to support accurate and timely claim submission and resolution.
• Works with physicians and clinical departments to clarify documentation and resolves surgical coding questions.

Qualifications

Minimum Work Experience

• 1 year Coding experience. Required

Licenses and Certifications

• Registered Health Information Administrator (RHIA_AHIMA) Upon Hire Required or
• Registered Health Information Technician (RHIT_AHIMA) Upon Hire Required or
• Certified Coding Specialist (CCS_AHIMA) Upon Hire Required or
• Certified Coding Associate (CCA_AHIMA) Upon Hire Required or
• Certified Professional Coder (CPC_AAPC) Upon Hire Required

Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida.

Baptist Health Care, Inc. is an Equal Opportunity Employer. BHC maintains and enforces a policy that prohibits discrimination against any workforce members or applicants for employment because of sex, race, age, color, disability, marital status, national origin, religion, genetic information, or other category protected by federal, state or local law. Certain positions may require a Level 2 Background check through AHCA. Additional information about this requirement can be found here: Florida Care Provider Background Screening Clearinghouse

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