Facility: VIRTUAL-GA

Job Summary:

The OP Coder 2 position reports directly to the Supervisor of Coding. Key responsibilities of the role include: Reviewing documentation in same day surgery and observation medical records, and accurately and completely assigning appropriate ICD-10-CM diagnostic and procedural CPT-4/HCPCS codes to the greatest specificity, and assigning the most accurate APC when appropriate. Abstracts demographic and coding information accurately and completely

Core Responsibilities and Essential Functions:

Codes and abstracts medical records with a minimum of accuracy:
- Accurately and completely assigns appropriate ICD-10-CM diagnostic and CPT-4/HCPCS procedural codes to the greatest specificity, assigning the most accurate DRG/APC, when appropriate and in accordance with Official Guidelines for Coding and Reporting and Facility Coding Guidelines, as applicable
- Accurately and completely abstracts all required patient demographic data into the EMR
- Accurately assigns correct APC
- Meets productivity standards
- Queries providers, if needed to further clarify code Manages additional coding responsibilities, contributing to the CFB (candidate for bill) goals, including but not limited to:
- Resolves coding edits and reminders, correcting abstracting and coding issues in a timely manner (1-2 business days)
- Completes and routes problem accounts, ready to code, high dollar and other accounts daily to ensure cases are coded as close to goal date as possible
- Completes assigned work by goal date
- Assists with coding unassigned or backlogged accounts
- Accurately capture the surgical CPT code(s) for pre-certification reconciliation for each of the WHS facilities, as needed Other task as assigned:
- Serves as a mentor to new coders
- Assist with cleaning up or escalating missing documentation or other work queues
- If proficient, assists with outpatient and emergency coding when needed or assigned
- Other tasks as assigned

Required Minimum Education:

High School Education Required and
GED Required or
equivalent. Required and
Completed anatomy and physiology course(s). Required

Required Minimum License(s) and Certification(s):
All certifications are required upon hire unless otherwise stated.

• Cert Coding Spec-Preferred or Cert Prof Coder-Preferred or Reg Health Information Admin-Preferred or Reg Health Information Tech-Preferred

Additional License(s) and Certification(s):



Required Minimum Experience:

Minimum 3 years acute care same day surgery and observation coding experience. Required

Required Minimum Skills:

Must have demonstrated maintenance of a or higher accuracy in abstracting, code and DRG assignment while meeting productivity requirements in previous roles.
Ability to work in a remote environment. Computer/data entry experience.
Ability to communicate with various members of the healthcare team.
Ability to use Microsoft (Excel, Word).