Clinical Coder II
Company | Arkansas Children’s |
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Location | Little Rock, AR, USA |
Salary | $Not Provided – $Not Provided |
Type | Full-Time |
Degrees | |
Experience Level | Junior, Mid Level |
Requirements
- American Academy of Professional Coders (AACP) or American Health Information Management Association (AHIMA) certification
Responsibilities
- Review patient medical records (e.g., physician notes, lab results, radiology reports, operative reports) to identify diagnoses and procedures.
- Assign accurate ICD (International Classification of Diseases), CPT (Current Procedural Terminology), and HCPCS (Healthcare Common Procedure Coding System) codes.
- Ensure coding accuracy and consistency across medical records.
- Adhere to established coding guidelines, coding conventions, official coding rules, and regulatory requirements (e.g., CMS, HIPAA).
- Maintain confidentiality of patient information in accordance with HIPAA regulations.
- Stay current with coding updates, changes in regulations, and industry best practices.
- Abstract data and information from medical records for various reporting requirements.
- Communicate effectively with physicians, nurses, and other healthcare professionals to clarify documentation and resolve coding discrepancies.
- Research and resolve accounts that have failed in the billing/collection process due to issues surrounding diagnostic and procedure coding.
- Codes a wider range of patient encounters, including more complex cases.
- Demonstrates a solid understanding of coding guidelines and conventions.
- Requires moderate supervision and can independently resolve many coding issues.
- May assist with training new coders or providing guidance to Level I coders.
- Identifies and reports potential coding errors or inconsistencies.
Preferred Qualifications
-
No preferred qualifications provided.