Coder II Remote

Medical University of South CarolinaCharleston, SC
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

  • 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
  • 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

  • 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.
  • Adhere 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.
  • Carry out all work in accordance with the Health Information Management Department and MUSC approved policies and procedures.
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