Coder II - Trauma

Major Responsibilities
Independently perform complex, specialty-specific professional fee coding (CPT/HCPCS and ICD-10-CM) for physician services rendered in both office and hospital settings, ensuring expert application of modifiers and E/M guidelines, or;
Perform entry-level facility coding for simple outpatient encounters (e.g., diagnostic imaging, labs) and basic inpatient services (e.g., uncomplicated admissions, short stays) using ICD-10-CM and ICD-10-PCS, where applicable
Ensure all coding adheres strictly to official guidelines (e.g., provided by AAPC or AHIMA), federal regulations (CMS), and organizational compliance standards
Identify the need for formal clinical queries for documentation clarification when necessary for professional or facility records
Maintain high accuracy and productivity standards appropriate to the complexity of the assigned workload
May provide informal guidance to new coding staff on professional coding nuances
Licensure, Registration, And/or Certification Required
An active coding certification issued by the American Academy of Coders (AAPC) OR American Health Information Management Association (AHIMA); Dual certifications, preferred
Education Required
High School Diploma or Equivalent required
Completion of an accredited medical coding or HIM program (or equivalent experience)
Experience Required
Minimum of 3-5 years of direct professional fee coding experience in a multi-specialty environment is required
Experience with professional procedural coding (e.g., surgical, interventional procedures) is preferred
Experience with Epic or similar electronic health record systems is required
Knowledge, Skills & Abilities Required
Proficient knowledge of medical terminology, anatomy, and pathophysiology
Advanced proficiency in CPT/HCPCS and ICD-10-CM/PCS coding systems
Basic understanding of facility payment methodologies (MS-DRGs) as they apply to simple encounters
Strong analytical skills, attention to detail, and ability to context-switch between different coding guidelines
Ability to work independently, manage a varied workload, and meet deadlines in a fast-paced environment
Physical Requirements And Working Conditions
Exposed to normal office environment in a remote work setting
Job may require occasional travel for training or meetings, therefore, may be exposed to road and weather hazards
May need to be able to lift up to 40 lbs. occasionally (e.g., equipment)
Sits the majority of the workday, but also may lift, reach, and bend throughout the day
Operates all equipment necessary to perform the job
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
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Work arrangement
Yes