Under the direct supervision of the Hospital Coding Supervisor, the Coder II is responsible for abstracting and coding medical record documentation across inpatient, outpatient, clinic, and emergency services.

This role involves selecting and sequencing the appropriate ICD-10-CM/PCS, HCPCS, and CPT-4 codes to ensure accuracy and compliance with coding guidelines. The position also contributes to coding compliance through timely and accurate assignment of diagnoses and procedure codes, including final DRG assignment.

The coder/abstracter is responsible for accurate code assignment of all inpatient, outpatient, and emergency service diagnoses, procedures, and conditions as indicated in the patient medical record. Coding is performed in accordance with official guidelines from the American Medical Association, the American Hospital Association, and the American Health Information Management Association, as well as MUSC Revenue Cycle Department policies and procedures.

Required Qualifications

Associate's degree in health information technology or a related field, or 5 years of coding experience

Coding certification such as CPC or CCS required

Minimum of 2-3 years of coding experience with an associate's degree

Familiarity with coding software

Strong analytical skills and ability to resolve coding issues

Effective communication and interpersonal skills

RHIT, CCS, CCA, CPC, CPC-A, or another coding credential required

Coding credential from AAPC or AHIMA required