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Coder 2

Wellstar Shared Services • Marietta, GA • Coding, Compliance, and Health Information Systems • 112511 • 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 Responsibilites 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.

  • Qualifications

    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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