The Coder II reviews the medical record to verify diagnosis and procedures. Codes the same using appropriate coding classification system. Verifies codes for statistical and reimbursement purpose.  Duties include:  Performs complete chart review. Assigns ICD-9 CM and/or CPT codes in accordance with coding and reimbursement guidelines.  Assists in obtaining final diagnosis and contacting physicians for clarification of documentation when needed. Verifies and abstracts specific clinical and demographic data. Verifies the DRG assignment, paying special attention to DRG's in which a comorbid condition or complication has been identified. Inputs the appropriate information into the hospital system discharge abstract. Refers appropriate charts for DRG Validation, prints the coding sheets and attaches it to the record for review.  Requirements include: Working knowledge of ICD-9-CM and CPT coding system, DRG, APG, payment systems, medical terminology, anatomy and physiology; excellent organizational and communication skills; inpatient and outpatient coding experience; and completion of coding certificate program. RHIT/RHIA or CCS preferred.

CB

TN