Qualifications:

High school diploma or GED required
Associate degree preferred
6–12 months coding experience required (Level 2 competency expected)
CCS, CCS-P, CPC, or equivalent required
Knowledge of ICD-10-CM/PCS, CPT, HCPCS, DRG/APC methodologies
Ability to work independently and manage multiple priorities

Responsibilities:

Maintain confidentiality of patient health information
Review documentation to identify diagnoses and procedures
Assign ICD-10, CPT, and HCPCS codes accurately
Validate modifiers, units, and revenue codes
Enter coded data into systems
Reconcile billing edits and error reports
Identify error trends and recommend improvements
Query providers for clarification
Assist with DRG/APC validation and reimbursement accuracy
Collaborate with HIM, PFS, and Revenue Integrity teams
Support denial management and appeals
Participate in audits and maintain ≥95% accuracy
Stay current on coding and regulatory updates
Support DNFB reduction and workflow improvements
Promote organizational mission and teamwork
Perform other duties as assigned

Performance Expectations:

≥95% coding accuracy
Meet productivity standards

Physical Demands:

Frequent sitting, computer use, communication
Must lift up to 25 lbs and maintain visual focus for detailed work

Work Environment:

Office or remote environment with prolonged computer use and moderate noise levels

Job Summary:

The Coder Level 2 reviews clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes for billing, reporting, and compliance. Ensures accurate inpatient (MS-DRG), outpatient (APC), and professional coding while supporting revenue integrity, denial prevention, and regulatory compliance. Demonstrates independent judgment, resolves coding edits, and identifies workflow improvements to reduce errors and optimize reimbursement.