Facility Coder II

Job description

- Reviews, interprets, and abstracts clinical documentation from inpatient and outpatient hospital records to assign accurate diagnosis and procedure codes (ICD10-CM, ICD-10-PCS, CPT, HCPCS). - Codes complex orthopedic surgical cases across multiple subspecialties including spine, joint replacement, hand surgery, podiatry, and neurology-related musculoskeletal procedures. - Applies appropriate DRG and/or APC assignment methodologies in compliance with federal and payer-specific regulations. - Ensures coding accuracy and compliance with ICD-10-CM/PCS Official Guidelines, UHDDS definitions, CMS regulations, and other applicable standards. - Utilizes hospital EMR and coding systems to capture all required clinical and demographic data for accurate billing and reporting. - Collaborates with physicians and clinical staff to clarify documentation and ensure complete and accurate coding. - Provides education and feedback to providers and staff regarding documentation improvement opportunities related to orthopedic surgical services. - Meets or exceeds established productivity and quality benchmarks. EDUCATION: - High school diploma or GED required. - Associate degree in Health Information...