Medical Records Coder II

This position has the option of working remotely.

Position Summary

The Medical Records Coder 2 applies ICD-10 and CPT-4 nomenclatures and relevant American Hospital Association, American Medical Association, federal, and third-party payer guidelines to determine principal and secondary diagnosis and procedure codes for inpatient and outpatient visits. The role may also assign CPT-4 codes for procedure and surgery cases, inpatient and emergency room evaluation and management, and other procedural services for facility and professional billing and data collection.

The coder reviews clinical documentation, applies knowledge of anatomy and physiology, medical terminology, and disease pathology, and follows compliance and coding policies while meeting productivity standards. The role uses electronic systems such as 3M Coding and Reimbursement Systems, Epic, Anthem, and CMS tools, and requires knowledge of charge master and charge maintenance. The coder also communicates with providers, managers, and staff to resolve documentation, charge, and reimbursement issues and supports the HIM mission by continually improving coding knowledge.