Coder II-III at Whidbey General Hospital – Coupeville, Washington

JOB SUMMARY

AHIMA or AAPC coding credential required. Experience in CPT procedure and E/M level code assignment preferred.

The Coder is responsible for reviewing discharge abstracts and patient charts in order to assign the appropriate ICD-CM/CPT codes to diagnoses and procedures. Reviews charts for potential liability risk and documents specific information as necessary. Performs studies as requested by physicians or administration. Maintains State reporting documentation for certain procedures in compliance with regulations.

The Coder encounters the mission of providing quality healthcare to the patients of WhidbeyHealth to ensure medical records are charged and coded accurately and efficiently. This position may be responsible for applying the appropriate codes for ICD-10, CPT / HCPCS, evaluation and management, and/ or modifiers to encounters for claims processing, or assessing, charging, and reconciling encounters. The Coder follows all federal, state and payer specific regulations and policies pertaining to documentation and coding requirements to ensure all work is in compliance with quality and established guidelines.

Coding positions within this Job Description are meant to encourage job growth with applicable career ladders. Prior to moving to a higher level coding position, a Coder must meet the standards under the applicable career ladder before transfer to the new level will be made. Career ladders are not automatic and must be approved by the applicable Supervisor or Manager prior to movement to a higher level.

JOB KNOWLEDGE & QUALIFICATIONS

Education

Coder II Required Education and Experience

• High school diploma or equivalent required. Completion of AHIMA / AAPC training course or comparable medical billing and coding certificate program required.

• Certified Coder with 0-2 Years of coding experience.

Coder III Required Education and Experience

• High school diploma or equivalent required. Completion of AHIMA / AAPC training course or comparable medical billing and coding certificate program required.

• Certified Coder with 2 or more years of ICD10CM coding experience with WhidbeyHealth.

A Coder ll is eligible to move to Coder III after the completion of two (2) consecutive years as a Coder ll with Whidbey Health with demonstrated proficiency in ICD10CM coding and proven ability to code multiple services (LAB, DI, EMS, REHAB, CAM, LC, NS, RT, SC, WFO) and at least one additional service line (a service line is defined as IP, OBS, SDS, ED and/or MAC) or Professional Service Coding of E/M and CPT procedural coding for two or more areas (areas are defined as (Primary care, Walk in clinic, General Surgery, Orthopedics and/or Obstetrics/Gynecology). Be able to perform all essential functions and competencies of the position with no current performance improvement documentation on file.

Certificates, Licenses, Registrations

RHIA, RHIT, CCA, CCS, CCS-P, CPC, COC, CIC, CRC or other valid AHIMA and/or AAPC coding certification.