The Health Information Management (HIM) Coder 2 is responsible for assigning appropriate ICD-10-CM and CPT diagnosis and procedure codes for services rendered in the inpatient and outpatient setting; Abstracts clinical and demographic information into hospital and financial databases.

The Health Information Management (HIM) Coder 2 reports directly to Coding Supervisor in conjunction with the Director of HIM.

1. Assigns ICD-10-CM and CPT classification codes according to established coding guidelines.

2. Abstracts clinical, diagnosis, procedural and demographic information as specified by hospital policies and procedures.

3. Queries physicians when code assignments are not straightforward or are inadequate, ambiguous or unclear for coding purposes.

4. Keeps abreast of coding guidelines and reimbursement reporting requirements. Brings any identified concerns to the Coding Supervisor or Director of Health Information Management for resolution.

5. Meets established coding productivity and accuracy standards.

6. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association.

7. Other duties as assigned.

1. Education:
  a.) Minimum Requirements: Successful completion of a Coding Certificate Program or an Associate’s Degree in a Medical Office Program or Health Information Technology (HIT) Program. Coding experience         preferred.

2. Licensure/Certification:
  a.) Required AHIMA or AAPC certification.

3. Work Experience:
  a.) Experience in assignment of ICD-10 diagnoses and procedure preferred.
  b.) Experience in assignment of CPT procedural codes.
  c.) Health Information Management or Medical Office experience.