Coder II

Medical University of South Carolina

4d

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.

Requirements

• Must have one of the required credentials RHIA, RHIT, CCS or CPC.
• Minimum of 1 years of coding experience in a hospital setting.
• Proven experience in training or education, preferably in a healthcare environment.
• Expertise in ICD-10-CM/PCS, HCPCS, and CPT4 coding systems.
• Strong understanding of medical terminology, anatomy, physiology, and disease processes.
• Excellent communication and interpersonal skills with the ability to effectively convey complex information to diverse audiences.
• Detail-oriented with strong analytical and problem-solving skills.
• Ability to work both independently and collaboratively within a team environment.
• Proficiency in using electronic health record (EHR) systems and coding software.
• Required Coding Certification from AAPC or AHIMA.
• You must submit a copy of your coding credential(s) as an attached document.

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 in accordance with official coding guidelines from the American Medical Association, the American Hospital Association, and the American Health Information Management Association
• carrying out all work in accordance with the Revenue Cycle Department and MUSC approved policies and procedures

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed