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The HIM Coder/Biller is responsible for the accurate assignment of ICD-10-CM diagnosis codes and resolution of claim edits for outpatient records across the hospital.

Reports to
Facility Coding Manager

Job Specific Responsibilities
1.Assign accurate diagnosis codes for outpatient, ancillary laboratory, and diagnostic services.
2. Maintain current knowledge of coding guidelines, regulatory requirements, and medical billing processes.
3. Perform coding quality reviews and audits as assigned.
4. Troubleshoot and resolve SVC (Simple Visit Coding) errors while identifying process improvement opportunities to prevent billing delays.
5. Review and resolve claim edits and denials, identifying corrective actions and preventative measures to improve claim accuracy.
6. Collaborate with internal dep...