Job Description

The Certified Coder II is responsible for reviewing codes submitted by physicians/providers to assure accurate assignment of ICD-9-CM, ICD 10 and CPT codes for inpatient/outpatient professional charges submitted via encounters, superbills and/or reports.  Review encounters, superbills, reports and medical records to assign appropriate billing and diagnosis codes for provider services. 

  • Abstract documents to determine appropriate level of E/M service or CPT procedure as appropriate.
  • Track inappropriate or incorrect codes chosen by providers to report services and follow all company and compliance policies with regards to incorrect codes or patterns of incorrect coding.
  • Reviewing physicians’ notes and charts for accuracy
  • Obtaining any necessary clarification of information on the notes and charts
  • Ensuring that all medical records have been signed by the appropriate parties
  • Assigning appropriate medical codes to all diagnoses or services
  • Identify and optimize revenue opportunities
  • Enter and organize codes into management software
  • Train new coding staff.
  • Assist Manager with workflow management.
  • Review charge correction requests.
  • Perform related duties as assigned by Coding Manager.
  • Maintain compliance with Federal, State and payer regulations.
  • Maintain compliance with all company policies and procedures


  • 3+ years of surgical coding experience required.
  • One year experience in medical billing preferred
  • Prior experience with IDX, EPIC and EncoderPro preferred.


  • High school diploma or equivalent
  • Certified Coding Specialist (CCS), or Certified Professional Coder (CPC) required.


  • Extensive knowledge in ICD-10 and CPT coding.
  • Working knowledge of anatomy, medical and procedural terminology.
  • Strong knowledge of medical billing practices.
  • Strong problem solving skills.
  • Computer proficiency (MS Office – Word, Excel and Outlook)
  • Understanding/compliance of HIPAA laws and regulations.
  • Able to differentiate between primary and secondary insurance payers
  • Excellent verbal and written communication skills.
  • Excellent customer service
  • Ability to read, understand and follow oral and written instructions.
  • Must be well organized and detail-oriented.
  • Must be able to work under pressure and meet deadlines, while maintaining a positive attitude.
  • Must be able to work extended hours.
  • Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices.
  • Able to work in a team environment.
  • Ability to operate standard office machines and equipment, including telephones, computers, copy machines, fax machines, calculators, scanners and shredders.
  • Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.
  • Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards
  • Type minimum __35__wpm
  • Ten key by touch

Physical Requirements:

  • Must be able to lift and carry up to 20 lbs
  • Must be able to talk, listen and speak clearly on telephone
  • Requires sitting and standing associated with a normal office environment.
  • Manual dexterity needed for using a calculator and computer keyboard.
  • Specific vision abilities include close vision, distance vision, depth perception and the ability to adjust focus.

Environmental Working Conditions:

  • Normal office environment.
  • The noise level of the work environment is usually moderate.
  • Occasional overtime maybe required and/or hours may be shortened as business needs dictate.

*The job holder must demonstrate current competencies applicable to the position.