Grady Health System · 2 weeks ago
PB Coder II
Atlanta, GA
Full-time
Onsite
Entry, Mid Level
2+ years expGrady Health System is a healthcare provider seeking a PB Coder II to ensure accurate coding and documentation for physician services. The role involves coding procedural (CPT) and diagnosis codes (ICD-10), reviewing physician documentation, and providing feedback to ensure compliance and optimize reimbursement.
Health CareHospitalMedical Device
Responsibilities
Codes office, hospital inpatient, outpatient, medical, diagnostic, procedural, emergency room and/or recurring records within established productivity coding accuracy guidelines
Evaluates medical record documentation and charge ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support the visit
Assigning and sequencing codes accurately based on medical record documentation
Assigning the appropriate discharge disposition as necessary
Evaluates records and prepares reports of appropriate production metrics and coding feedback and maintains or exceeds established productivity and coding accuracy standards. May monitor unbilled accounts
Queries physicians when code assignments are not straightforward or documentation is inadequate, ambiguous, or unclear for coding purposes; offers physician opportunity to submit corrected documentation
Notifies appropriate individuals of potential non-compliance with medical necessity requirements and when services are non-covered or not payable, as appropriate
Corrects failed claim errors to billing edits, and other coding related errors
Documents coding information and takes appropriate actions in the Practice Management System in accordance with the department’s policies and procedures
Maintain the knowledge necessary to navigate the EeMR to efficiently perform tasks and meet production and quality standards. Works independently to resolve issues, applying root cause analyses to determine steps required for timely resolution
Provides technical guidance to physicians and other departmental staff in identifying and resolving issues or errors
Develops effective working relationships with physicians and other stakeholders. The ability to communicate effectively and professionally in interactions with physicians, management, and staff. Must be able to work collaboratively and positively within a culturally diverse production environment
Maintains professional growth by participating in educational programs and professional organization to stay abreast of code changes, trends, practices, and developments. Must meet all requirements to maintain coding certification
Performs other duties as assigned
Qualification
Required
High School Diploma/GED required
Two (2) years of coding experience required
Working knowledge of medical terminology, anatomy, and physiology
Proficiency with Microsoft Office
Knowledge of ICD-9-CM/ICD-10-CM and CPT coding principles and guidelines
Knowledge of medical terminology, abbreviations, techniques and surgical procedures; anatomy and physiology; major disease processes; pharmacology; and the metric system
Knowledge of reimbursement systems, as well as federal, state and payer-specific regulations and policies pertaining to medical documentations, billing and coding
Knowledge of Standards of Ethical Coding
Skill and ability to communicate effectively both orally and in writing
Skill and ability to research and analyze data, draw conclusions, and resolve issues
Skill and ability to read, interpret, and apply policies, procedures, laws, and regulations; read and interpret medical procedures and terminology; develop training materials; make group presentations; exercise independent judgment; and prepare reports and related documents
Skill and ability to maintain working relationships with physicians and other staff
Skill and ability to review the work of others and maintain confidentiality
Preferred
Coding Certificate program, AAPC or AHIMA accredited preferred
Knowledge of EPIC EeMR
Strong analytic skills
Computer Assisted Coding (CAC) knowledge
CPC, CCS, CPC-H, CCS-P, CCS-H, RHIA, RHIT, or equivalent coding certification required
Company
Grady Health System
Grady Health System is one of the largest public health systems in the United States
5001-10000 employees
H1B Sponsorship
Grady Health System has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (4)
2024 (7)
2022 (3)
2021 (5)
Funding
Current Stage
Late StageTotal Funding
$50M2014-09-29Grant· $50M
Leadership Team
L
Lindsay Caulfield
SVP/Chief Marketing & Experience Officer
S
Shannon Sale
Senior Vice President, Chief Strategy Officer
Recent News
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