Coder II-3

Job Description Summary

The Coder II at the Medical University of South Carolina is responsible for the accurate assignment of diagnostic, procedural, and condition codes for all inpatient, outpatient, and emergency service encounters based on documentation within the patient medical record. This role plays a critical part in ensuring compliance with regulatory requirements and facilitating appropriate reimbursement.

Entity

MUSC Community Physicians (MCP)

Worker Type

Employee

Worker Sub-Type​

Regular

Cost Center

CC004513 MCP - Revenue Cycle

Pay Rate Type

Hourly

Pay Grade

Health-25

Scheduled Weekly Hours

40

Work Shift

Job Description

Key Responsibilities:

• Assign diagnostic and procedural codes using ICD-10-CM/PCS and CPT-4 classification systems in accordance with official coding guidelines from the American Medical Association (AMA), American Hospital Association (AHA), American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC).
• Ensure all coding activities adhere to established Revenue Cycle Department and MUSC approved policies and procedures.
• Review and analyze clinical documentation to accurately abstract necessary information for code assignment.
• Maintain proficiency in coding updates and changes to regulatory requirements, incorporating these changes into daily coding practices.
• Participate in coding quality audits and continuous improvement initiatives to enhance accuracy and efficiency in coding processes.
• Maintain confidentiality of patient information and adhere to ethical standards related to coding practices.

Qualifications:

• High school diploma or equivalent required; Associate’s degree in Health Information Management or related field preferred.
• Must be credentialed nationally via AAPC or AHIMA with at least one of the following credentials: CPC or CCS 
• Minimum of 1-2 years of coding experience in a healthcare setting, preferably in an academic medical center or hospital environment.
• Thorough knowledge of ICD-10-CM/PCS and CPT-4 coding principles, guidelines, and conventions.
• Proficiency in using electronic health record (EHR) systems and encoding software.
• Strong analytical and critical thinking skills with attention to detail.
• Effective communication skills with the ability to collaborate across interdisciplinary teams.
• Ability to work independently and efficiently under minimal supervision in a fast-paced environment.

Working Conditions:

• Full-time position, typically Monday to Friday, with occasional weekend or evening hours as required.
• Work is performed primarily in a remote office setting.

Additional Job Description

Qualifications:

• 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 and familiarity with coding software.
• Strong analytical skills and ability to resolve coding issues.
• Effective communication and interpersonal skills.

Certifications, Licenses, Registrations:

• RHIT, CCS, CCA, CPC, CPC-A, or other coding credential required

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

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