Coder II Remote

Medical University of South Carolina

1d • Remote

About The Position

Under the direct supervision of the Hospital Coding Supervisor, the Coder II will Abstract inpatient, outpatient, clinic, and/or emergency department medical record documentation to select and sequence appropriate ICD-10-CM/PCS, HCPCS, and/or CPT4 codes. 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 Health Information Management Department and MUSC approved policies and procedures.

Requirements

• High School diploma and completion of a medical terminology course and a medical records ICD-10-CM/PCS and CPT-4 coding class and one year related experience; an Associate degree may be substituted for the required work experience.
• Credentialed as a Certified Coder by a nationally recognized accrediting body (AAPC or AHIMA) – CPC, CCS, or RHIA.

Responsibilities

• Abstract inpatient, outpatient, clinic, and/or emergency department medical record documentation to select and sequence appropriate ICD-10-CM/PCS, HCPCS, and/or CPT4 codes.
• Adheres 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.
• All work is carried out in accordance with the Health Information Management Department and MUSC approved policies and procedures.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED