Coder II - Trauma
About The Position
The Coder II supports trauma coding and performs professional fee coding for physician services in office and hospital settings. The role independently codes complex, specialty-specific services using CPT/HCPCS and ICD-10-CM, applying appropriate modifiers and E/M guidelines. It may also perform entry-level facility coding for simple outpatient encounters and basic inpatient services using ICD-10-CM and, where applicable, ICD-10-PCS. The Coder II ensures coding complies with official coding guidelines, federal regulations including CMS requirements, and organizational standards. The position identifies when clinical queries are needed to clarify documentation and maintains accuracy and productivity appropriate to the complexity of the work. The role may provide informal guidance to new coding staff on professional coding nuances. The position is full-time, 40 hours per week, Monday through Friday on the first shift. Remote work may be approved for employees in specified registered states.
Requirements
- Active coding certification issued by AAPC or AHIMA.
- High school diploma or equivalent.
- Completion of an accredited medical coding or health information management program, or equivalent experience.
- Minimum of 3–5 years of direct professional fee coding experience in a multi-specialty environment.
- Experience with Epic or a similar electronic health record system.
- Proficient knowledge of medical terminology, anatomy, and pathophysiology.
- Advanced proficiency in CPT/HCPCS and ICD-10-CM/PCS coding systems.
- Basic understanding of facility payment methodologies, including MS-DRGs, as they apply to simple encounters.
- Strong analytical skills and attention to detail.
- Ability to context-switch between coding guidelines, work independently, manage a varied workload, and meet deadlines in a fast-paced environment.
Nice To Haves
- Dual AAPC and AHIMA certifications.
- Experience with professional procedural coding, such as surgical or interventional procedures.
Responsibilities
- Perform complex, specialty-specific professional fee coding for physician services in office and hospital settings using CPT/HCPCS and ICD-10-CM.
- Apply appropriate modifiers and E/M guidelines.
- Perform entry-level facility coding for simple outpatient encounters and basic inpatient services using ICD-10-CM and, where applicable, ICD-10-PCS.
- Ensure coding follows official guidelines, federal regulations, and organizational compliance standards.
- Identify when formal clinical queries are needed to clarify documentation for professional or facility records.
- Maintain accuracy and productivity standards appropriate to the complexity of assigned work.
- May provide informal guidance to new coding staff on professional coding nuances.
Benefits
- Paid time off programs.
- Medical, dental, vision, life, and short- and long-term disability benefits.
- Flexible Spending Accounts for eligible health care and dependent care expenses.
- Adoption assistance and paid parental leave.
- Defined contribution retirement plans with employer match and other financial wellness programs.
- Educational Assistance Program.
- Competitive compensation, with potential premium and incentive pay for eligible positions.
- Opportunity for annual increases based on performance.
- Career development programs.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
