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Coder 2

Wellstar Shared Services • Marietta, GA • Coding, Compliance, and Health Information Systems • 103340 • Days • Full-Time


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 95% 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 for All Jobs

  • Performs other duties as assigned

  • Complies with all WellStar Health System policies, standards of work, and code of conduct.


Required Minimum Education

  • High School Education Required and

  • GED Required or

  • Equivalent. Required and

  • Completed anatomy and physiology course(s). Required
    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 95% 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).
    Required Minimum License(s) and Certification(s)

  • Cert Coding Spec 1.00 Preferred 1.00

  • Cert Prof Coder 1.00 Preferred 1.00

  • Reg Health Information Admin 1.00 Preferred 1.00

  • Reg Health Information Tech 1.00 Preferred 1.00
    Additional Licenses and Certifications

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