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
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

Certification required: Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA)
High School Diploma or Equivalent required
Completion of an accredited medical coding or HIM program (or equivalent experience)
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
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

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short
and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Coder II – Anesthesia

About this role