The Coder II is responsible for abstracting and assigning valid CPT, ICD-9/10, and HCPCS codes to ensure appropriate reimbursement. This role identifies compliance concerns, trends, and educational opportunities to ensure proper coding, documentation, and accuracy of billing within their specialty, and is able to work independently.

Coder III demonstrates proficiency in coding high acuity inpatient accounts and/or coding of technical outpatient accounts including Observation, Radiation Oncology, Chemotherapy Infusion, Cardiac Cath/Electrophysiologyor Interventional Radiology and Surgery to support Revenue Cycle goals for timely billing.Utilizes International Classification of Disease (ICD-10-CM and PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding.

This position is responsible for the accurate coding of either inpatient coding or outpatient coding, performing all tasks following the Operating Principles of Baystate Health; reviewing medical record documentation for the accurate assignment of ICD-10-CM and CPT codes; and ensuring the quality and integrity of coding. Meets departmental policy on productivity and quality.

Accurately assigns diagnosis and procedure codes for inpatient facility and professional services. Work may involve areas such as Laboratory, Radiology, and Dental services. Codes inpatient discharge records with correct and optimal DRG assignment. Researches and resolves coding edit failures as assigned.