Coder Il- FT- Varies

Allied Health McAllen, Texas


Position at DHR Health


This is a mid-level, work from work position. Coder is responsible for:

  • Analyzing provider documentation
  • Assign and sequence ICD-10-CM, CPT®/HCPCS appropriately
  • Append billing modifiers when appropriate
  • Reconcile CPT(s)
  • Resolves billing edits according to 3M Code editor
  • Participates in educational activities and attends staff meetings.




  • Coding credential from an accredited coding organization required
  • Credentials from AHIMA, AAPC preferred
  • Extensive knowledge of medical terminology
  • Knowledge of Coding Guidelines
  • Knowledge of CPT rules and regulations
  • Knowledge of NCCI policies
  • Highly reliable
  • Must be a team player with good people skills and possess strong initiative to get daily work finished and processed
  • Maintain productivity levels



  • Extensive experience in medical coding, medical terminology, and anatomy and physiology required; 3 year of coding experience preferred
  • Requires reasoning ability and good independent judgment
  • Ability to perform productive research quickly
  • Requires working with minimal interruptions
  • Must have an understanding of laws and ethics related to health insurance, medical billing and Health insurance Portability and Accountability Act (HIPPA)
  • Computer and coding software experience required, 3M encoder preferred
  • Advanced computer skills required with knowledge of Microsoft Office suite
  • Experience in Professional coding and billing a plus




  • Promotes the facility mission, vision and values by effectively communicating them to others.  Considers mission, vision and values in developing services, standards and practices
  • Coding ICD-10-CM to the highest level of specificity
  • Accurately Codes outpatient procedures according to CPT guidelines
  • Must be able to validate CPT based on medical record documentation
  • Ability to code outpatient record types such as: Ambulatory surgery, General surgery, ENT surgery, Eye/Vision surgery, Interventional Radiology, Orthopedic surgery, Cardiovascular surgery, Spinal surgery, Pediatric surgery, Stereotactic surgery, Reconstruction/Plastic, Ob/Gyn surgery, Dental surgery, ER, Observations, Radiation/Chemo Oncology, Infusions, ect…
  • Queries physicians for clarification when ambiguous, vague, or incomplete information is identified
  • Ability to accurately attach HCPCS Level I and Level II modifiers for billing purposes                     
  • Utilizes computerized 3M Coding Software
  • Utilizes and researches 3M Coding references for final coding
  • Must be able to identify medical abbreviations, terms and their meanings
  • Codes all available records in a timely a manner
  • Must be able to multitask        
  • Meets quality standards of having ≥ 95% of charts coded accurately                         
  • Meets productivity standards set forth by the coding manager                                    
  • Communicates with Coding Manager to solve problems and to clarify coding issues
  • Assign mnemonics to unbilled accounts as appropriate
  • Maintains a good working relationship within the department, other departments, and medical staff
  • Assist the business office with clearing reimbursement and denial issues
  • Clears AEOS in a timely manner
  • Communicates via email and/or phone with other departments to obtain pertinent information in order to code the account
  • Willing to transition into Inpatient coding
  • Coding of introductory level Inpatient accounts may be required
  • Communicates with RMF clinic management to ensure timely professional billing
  • Ability to identify and accurately assign discharge/disposition status
  • Must take initiative to further coding knowledge
  • Attends workshops, seminars or conferences that pertain to position and that fulfill CE hour requirements
  • References ICD-10-CM, CPT, and HCPCS Level II code books as needed                
  • Reviews Coding Clinic updates and continuing education periodicals in a timely manner
  • Adheres to the Health Information Management Policies and Procedures for Coding            
  • Adheres to the Coding Compliance Plan                                                                     
  • Follows the AHIMA Standards of Ethical Coding                                                                           
  • Maintains confidentiality and safeguards all patient related information.                   
  • Performs other duties as assigned       




Chief Revenue Officer            →        2. Director of Coding   →        3.Coding Supervisor