E&M/Specialty Coder

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Under Spazier, the E&M/Specialty Coder is responsible for accurate coding of professional services (diagnoses, conditions and procedures) from medical record documentation in a hospital setting. Working from appropriate documentation in the medical record, assigns codes and modifiers with ICD‑CM, CPT and HCPCS Level II codes.

All work is performed in accordance with the rules, regulations and coding conventions of ICD‑CM Official Guidelines for Coding and Reporting, Coding Clinic published by the American Hospital Association, the ICD‑CM, CPT and HCPCS code book, CPT Assistant, NCCI Edits, OSHPD and Kaiser Permanente’s organizational and institutional coding guidelines.

Essential Responsibilities

• Review medical records to identify diagnoses and procedures.
• Under supervision, code all diagnostic and...