Coder II

Medical University of South Carolina•Charleston, SC

About The Position

The coder/abstracter is responsible for accurately assigning codes to diagnoses, procedures, and conditions documented in inpatient, outpatient, and emergency service patient medical records. The role uses ICD-10 and CPT classification systems and follows official coding guidelines from the American Medical Association, the American Hospital Association, and the American Health Information Management Association. All work must comply with Health Information Management Department and MUSC-approved policies and procedures.

Requirements

  • Associate’s degree in health information technology or a related field, or five years of coding experience.
  • Coding certification or credential required, such as RHIT, CCS, CCA, CPC, CPC-A, or another coding credential.
  • With an associate’s degree, at least 2–3 years of coding experience and familiarity with coding software.
  • Strong analytical skills and ability to resolve coding issues.
  • Effective communication and interpersonal skills.

Responsibilities

  • Accurately assign codes to diagnoses, procedures, and conditions documented in inpatient, outpatient, and emergency service medical records.
  • Apply ICD-10 and CPT classification systems in accordance with official coding guidelines.
  • Perform work in accordance with Health Information Management Department and MUSC-approved policies and procedures.
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