Certified Coding Specialist II
Core
Reviews and interprets patient medical records to identify diagnoses and procedures, assigning ICD-10-CM and CPT-4 codes accurately for ambulatory surgery, emergency department, and outpatient clinic records.
Role type
Certified Coding Specialist II
Builds
Accurate medical coding assignments for complex ambulatory surgery and evaluation & management records
Domain
Healthcare administration / Medical coding
Required skills
ICD-10-CM coding, CPT-4 coding, Medicare/Medicaid rules, medical terminology, anatomy and physiology, disease process knowledge, electronic medical record applications, automated encoders
Preferred skills
RHIA, RHIT, health insurance processing
Technologies
Electronic medical record applications, automated encoders
Responsibilities
Assign ICD-10-CM and CPT-4 codes based on physician documentation, communicate with physicians regarding documentation requirements, maintain current knowledge of coding guidelines, assist with outpatient ancillary and emergency room record coding
Seniority
Mid-level, independent contributor
