Coder 2 - Fairview Health Services

This is a fully remote position, approved for a 1.0 FTE (80 hours per pay period) on the day shift.

Coder 2s analyze clinical documentation; assign appropriate diagnosis, procedure, and levels of service codes; abstract the codes and other clinical data.  Performs a variety of technical functions within the Outpatient coding area, codes outpatient visits, sent-in-labs, consolidated funding accounts, utilizing ICD-10-CM, CPT-4, and HCPCs Coding Classification systems. Utilizes an electronic coding software to code to the highest level of specificity, ensuring optimal and appropriate reimbursement for the services provided. Responsibility includes resolving medical necessity edits and extracting and entering data into the medical record. This information is then used to determine reimbursement levels, assess quality of care, study patterns of illness and injuries, compare healthcare data between facilities and between physicians, and meet regulatory and payer reporting requirements. Coder 2’s also resolves clinical documentation and charge capture discrepancies and provides feedback to providers on the quality of their documentation and charging. 

** 1 year of professional coding experience required - please see below for other required and preferred qualifications**  

Job Expectations:  

• Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures, and standards. 

• Actively participates in creating and implementing improvements. 

• Assigns ICD-10, CPT-4, and HCPCs codes to all diagnoses, treatments, and procedures, according to official coding guidelines. 

• Knowledge of relationship of disease management, medications and ancillary test results on diagnoses assigned. 

• Extracts required information from electronic medical record and enters encoder and abstracting system. 

• Follows-up on unabstracted accounts to assure timely billing and reimbursement. 

• Resolves any questions concerning diagnosis, procedures, clinical content of the chart or code selection through research and communication. May query physicians on documentation according to established procedures and guidelines. 

• Meets departmental productivity and quality standards  

• Complete projects as assigned. 

• Performs other responsibilities as needed/assigned. 

• Timely and accurate work 

• Contributes to the process or enablement of collecting expected payment 

• Understands and adheres to Revenue Cycle’s Escalation Policy. 

Required Education

• Certificate program in coding or associate degree in HIM or a certificate with 1-3 years of healthcare experience (MA, HUC, Revenue Cycle) 

Required Experience

• 1 year experience required if appropriate coursework has been completed

Required License/Certification/Registration

• One of the following is required:
  • RHIA - Registered Health Information Administrator
  • RHIT - Registered Health Information Technician
  • CCS - Certified Coding Specialist
  • CPC - Certified Professional Coder
  • CCS-P - Certified Coding Specialist - Professional
  • CPC-H - Certified Professional Coder - Hospital
  • and/or COC - Certified Outpatient Coder

Additional Requirements

• Basic knowledge of Windows-based computer software. Epic and Microsoft Teams. Due to differences in scope of care, practice, or service across settings, the specific experience required for this position may vary. 

Preferred Education

• Associate or bachelor’s degree

Preferred Experience

• At least one year of coding experience

Preferred License/Certification/Registration

• Outpatient or Professional Fee Coding: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Coding Specialist – Professional (CCS-P), Certified Professional Coder - Hospital (CPC-H) COC – Certified Outpatient Coder