Coder II- Radiology

General Summary Collects, reviews, retrieves and codes Evaluation & Management codes, and major procedures (surgical procedures, anesthesia reports, radiology reports/procedures) and other services for Medicine/Surgical practices, based on data from medical documentation and reports for quality assessment, audit, and billing purposes.

Responsibilities

Duties and Responsibilities

Essential Functions

• Performs chart audits, reviewing for accuracy and compliance. Reviews operative reports and other documentation and assigns appropriate diagnosis (ICD-10) procedure codes (CPT), and other items (HCPCS) for final billing. Research and process invoice corrections. Reviews and analyzes coding/billing procedures. Presents training and feedback concerning medical coding, compliance, and reimbursement to physicians/providers. Coordinates and implements reimbursement improvement activities with staff and providers.
• Adheres to
• WellSpan
• Coding
• Compliance
• Guidelines
• Common
• Expectations: Maintains job specific standards and expectations relative to productivity and quality. Prepares and maintains appropriate documentation as required. Maintains professional growth and development. Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Qualifications

Minimum Education

• High
• School
• Diploma or
• GED
• Required
• Work
• Experience: 1 year Relevant experience.
• Required
• Licenses: Certified Professional Coder Upon Hire Required or Certified Coding Specialist - Physician Based Upon Hire Required or Certified Medical Coder Upon Hire Required or Certified Professional Coder Apprentice within 1 year Required or Certified Outpatient Coder Upon Hire Required or Registered Health Information Technician Upon Hire Required or Certified Home Care
• Coding
• Specialist -
• Diagnosis
• Upon
• Hire
• Required
• Courses and
• Training: Certified Home Care Coding Specialist-Diagnosis (CHCS-D) – Only required for VNA Home Health Services.
• Upon
• Hire
• Required
• Knowledge,
• Skills, and
• Abilities: Knowledge of ICD-10-CM, CPT-4, and HCPCS coding. Basic computer skills.
• Benefits
• Offered: Comprehensive health benefits Retirement savings plan Paid time off (PTO) Education assistance Financial education and support, including
• DailyPay
• Expanded
• Paid
• Parental
• Leave
• For additional details: Benefits & Incentives | WellSpan Careers (joinwellspan.org)