Job Details

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.