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Geisinger · 1 day ago

Coder II

Danville, PA

Full-time

Onsite

Mid Level

3+ years exp

Geisinger is a healthcare organization seeking a Coder II to transform verbal descriptions of diseases, injuries, and procedures into coded form. The role involves reviewing medical records, assigning codes for diagnoses and procedures, and ensuring compliance with coding guidelines.

Health CareHospitalMedical

Responsibilities

Reviews the content of the medical record for hospital and professional inpatient or outpatient records to identify principal diagnosis, secondary diagnoses and procedures performed that explain the reason for service being provided or the admission and patient severity and comply with standard provider coding regulations

Carefully details review of documents such as laboratory findings, radiology reports, various scan reports, discharge summary, history and physical, consultations, orders, progress notes and other ancillary services treatment records needed to ensure all pertinent diagnoses and procedures are recorded

Translates all diagnostic and procedural phrases utilized by healthcare providers into coded form using procedure codes as required

Using the Encoder software program, determines the codes for all diagnoses and procedures

Determines their sequencing to legally maximize reimbursement

Assigns the appropriate DRG

Assigns codes based on hospital and professional coding guidelines, Coding Clinic directives, federal regulations, CCI coding initiatives, CPT Assistant or other standard coding guidelines. Queries physicians as needed to clarify documentation within the patient’s record to facilitate complete and accurate coding

Understands and applies internal policy and procedure guidelines regarding how to phrase physician queries

Assists the Coding Quality and Professional Manager with training of new coding staff related to hospital and professional coding guidelines, encoder and other software systems needed for the coding process, along with reviewing coding guidelines on an annual basis and makes recommendations for change to improve coding and data management

Communicates to Coding Quality and Professional Manager any new diagnoses, procedures, technologies, etc. documented within patient records to ensure that appropriate diagnosis and procedure codes are selected and incorporated into hospital and professional coding guidelines

Updates and corrects historical file data by completing and submitting claim action reports per the PHC4 quarterly report

Works in conjunction with other areas within the revenue cycle and external departments and Geisinger to ensure coordinated activities with respect to all revenue cycle needs

Qualification

Certified Professional CoderCertified Risk Adjustment CoderRegistered Health Information TechnicianEncoder software proficiencyAttention to detailCommunication skillsTeam collaboration

Required

High School Diploma or Equivalent (GED)

Minimum of 3 years Relevant experience

Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC)

Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC)

Registered Health Information Technician (RHIT) - American Health Information Management Association

Benefits

Healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners

Company

Geisinger

Glassdoor3.5

Geisinger is a health and wellness organization that offers orthopaedic, weight-management, and heart care services. It is a sub-organization of Risant Health.

Founded in 1915

Danville, Pennsylvania, USA

10001+ employees