Coder II-5

Medical University of South Carolina

1d

About The Position

Under the direct supervision of the Hospital Coding Supervisor, the Coder II will be responsible for abstracting and coding medical record documentation across various departments, including inpatient, outpatient, clinic, and emergency services. This role involves selecting and sequencing the appropriate ICD-10-CM/PCS, HCPCS, and CPT-4 codes to ensure accuracy and compliance with coding guidelines. The Coder II will contribute to coding compliance by ensuring timely and accurate assignment of codes for diagnoses and procedures, including the final DRG assignment. Adheres to coding compliance guidelines for assignment of complete, accurate, timely and consistent codes for diagnoses and procedures to include final DRG assignment The coder/abstracter is responsible for accurate code assignment of all inpatient, outpatient, and emergency service diagnoses, procedures and conditions as indicated in the patient medical record. Classification systems include ICD-10 and CPT edition, and all coding is in accordance with official coding guidelines from the American Medical Association, the American Hospital Association, and the American Health Information Management Association. All work is carried out in accordance with the Revenue Cycle Department and MUSC approved policies and procedures. Must have coding credential from AAPC or AHIMA

Requirements

• Associate’s degree in health information technology or related field or 5 years coding experience
• coding certification (e.g., CPC, CCS) required
• With Associate’s degree, minimum of 2-3 years of experience in coding and familiarity with coding software
• Strong analytical skills and ability to resolve coding issues
• Effective communication and interpersonal skills
• RHIT, CCS, CCA, CPC, CPC-A, or other coding credential required

Responsibilities

• abstracting and coding medical record documentation across various departments, including inpatient, outpatient, clinic, and emergency services
• selecting and sequencing the appropriate ICD-10-CM/PCS, HCPCS, and CPT-4 codes to ensure accuracy and compliance with coding guidelines
• contributing to coding compliance by ensuring timely and accurate assignment of codes for diagnoses and procedures, including the final DRG assignment
• adhering to coding compliance guidelines for assignment of complete, accurate, timely and consistent codes for diagnoses and procedures to include final DRG assignment
• accurate code assignment of all inpatient, outpatient, and emergency service diagnoses, procedures and conditions as indicated in the patient medical record
• coding is in accordance with official coding guidelines from the American Medical Association, the American Hospital Association, and the American Health Information Management Association

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 501-1,000 employees