Coder II - Revenue Integrity
- Abstract data from medical records into Epic and Solventum/3M 360 to create accurate case summaries.
- Assign ICD-10-CM and CPT-4 codes per national guidelines and department-specific coding rules.
- Identify primary and secondary diagnoses/procedures.
- Ensure compliance with federal and payer-specific requirements, including APC assignment.
- Code SDS, Observation, andwhen neededED, Diagnostic, and Ancillary records.
- Code Surgical Records, E&M encounters, ED with E&M, and various Diagnostic and Ancillary services.
- Support Documentation Quality Assurance reviews.
- Work with Charge Review, Reconciliation Reports, Slicer/Dicer, and Excel-based analysis.
- Audit provider documentation and coding trends to support education and process improvement.
- Present findings or recommendations to internal stakeholders and provider groups.
- Collaborate to reduce reconciliation errors and strengthen accuracy across service lines.
- High School Diploma or equivalent required.
- Minimum 1 year of outpatient multidisciplinary coding and/or Provider E&M Level of Service Coding (Pro Fee) required.
- Experience with Epic and Solventum 360 Pro Fee required.
- CPC Certified Professional Coder
- COC Certified Outpatient Coder
- CPC-P Certified Professional Coder-Payer
- CRC Certified Risk Adjustment Coder
- CIC Certified Inpatient Coder
- CCS Certified Coding Specialist
- RHIT Registered Health Information Technician
- RHIA Registered Health Information Administrator
- Strong understanding of outpatient & pro-fee coding methodologies.
- Ability to analyze and audit clinical documentation and provider notes.
- Excellent written and verbal communication skills; comfortable presenting to groups.
- Proficiency with Epic, 3M/Solventum products, Excel, and reconciliation reporting tools.
- Ability to work independently and manage competing priorities.
- Candidates must reside in or near Fort Myers/Cape Coral, FL and be available for onsite training or meetings as needed.
- Candidates must reside in or near Fort Myers/Cape Coral, FL and be available for onsite training or meetings as needed.
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