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Medical Coder II, Inpatient Hospital Full Time
2 months ago
We are seeking a skilled Medical Coder II to join our team at Connecticut Children's. As a key member of our coding team, you will be responsible for applying diagnostic and procedural codes to individual health information for data retrieval, analysis, and claims processing.
Key Responsibilities- Abstract pertinent information from patient records and assign ICD-9-CM/ICD-10-CM, ICD-10-PCS or CPT/HCPCS codes, creating APC or DRG group assignments.
- Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
- Stay up-to-date with coding guidelines and reimbursement reporting requirements, and bring identified concerns to supervisor or department manager for resolution.
- Abide by the standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines.
- Assist in coordination of the compilation of data relative to regulatory agencies and the accreditation process.
- Review all charges, ensure accurate charge capture, and review medical necessity for all ordered tests/procedures.
- Perform coding and charge capture for facility services, including emergency department and IV services, and charge capture may include providers' services.
- Monitor coding work queues for simple visit coding, including rehabilitation services.
- Proactively communicate with physicians and physician's offices to ensure adequate documentation to support ordered services.
- Verify accuracy of patient account/type and demographic data, and coordinate with patient financial services to assure accurate billing/reimbursement and reporting.
- Successful completion of a coding certificate program with AHIMA approval status preferred.
- Associate degree or equivalent training acquired through at least three years on-the-job experience.
- Certification is required within one year of hire; acceptable certifications for this position include American Health Information Management Association (AHIMA) certifications and American Academy of Professional Coders (AAPC) certifications.
Connecticut Children's is the only health system in Connecticut that is 100% dedicated to children. We offer personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home.
We are committed to diversity, equity, and inclusion, and we strive to create a welcoming and inspiring environment for our patients, families, and team members. If you are passionate about transforming children's health and well-being, we encourage you to apply for this exciting opportunity.
