About this role
How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.
Work Shift Day (United States of America)
Job Summary:
The Facility Surgical Coder 2 position reports directly to the Supervisor of Coding.
Key responsibilities of the role include:
• Reviewing documentation in same day surgery and observation medical records, and accurately and completely assigning appropriate ICD-10-CM diagnostic and procedural CPT-4/HCPCS codes to the greatest specificity and assigning the most accurate APC when appropriate. Abstracts demographic and coding information accurately and completely
Core Responsibilities and Essential Functions:
• Codes and abstracts medical records with a minimum of accuracy. • Accurately and completely assigns appropriate ICD-10-CM diagnostic and CPT-4/HCPCS procedural codes to the greatest specificity, assigning the most accurate DRG/APC, when appropriate and in accordance with Official Guidelines for Coding and Reporting and Facility Coding Guidelines, as applicable • Accurately and completely abstracts all required patient demographic data into the EMR • Accurately assigns correct APC • Meets productivity standards • Queries providers, if needed to further clarify code • Manages additional coding responsibilities, contributing to the CFB (candidate for bill) goals, including but not limited to: resolving coding edits and reminders, correcting abstracting and coding issues in a timely manner (1-2 business days) • Completes and routes problem accounts, ready to code, high dollar and other accounts daily to ensure cases are coded as close to goal date as possible • Completes assigned work by goal date • Assists with coding unassigned or backlogged accounts • Accurately capture the surgical CPT code(s) for pre-certification reconciliation for each of the WHS facilities, as needed • Serves as a mentor to new coders • Assist with cleaning up or escalating missing documentation or other work queues • If proficient, assists with outpatient and emergency coding when needed or assigned • Performs other duties as assigned • Complies with all WellStar Health System policies, standards of work, and code of conduct.
Required Minimum Education:
• High School Diploma or GED
Preferred Certification(s): All certifications are required upon hire unless otherwise stated.
• CCS - Cert Coding Spec Upon Hire Preferred or • CPC - Cert Prof Coder Upon Hire Preferred or • RHIA - Reg Health Information Admin Upon Hire Preferred or • RHIT - Reg Health Information Tech Upon Hire Preferred or Required Minimum Experience:
Minimum 3 years acute care same day surgery and observation coding experience.
Required Minimum Skills:
• Must have demonstrated maintenance of a or higher accuracy in abstracting, code and DRG assignment while meeting productivity requirements in previous roles. • Ability to work in a remote environment. Computer/data entry experience. • Ability to communicate with various members of the healthcare team. • Ability to use Microsoft (Excel, Word).
Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.