Coder/Abstractor II (4221)

Trinity Health; Minot (ND); Hybrid; USD 30,000 - 45,000; Full time

Job summary

Trinity Health is seeking a senior Coder/Abstractor II for a remote-minot, ND position. The role focuses on advanced ICD10, CPT, and HCPCS coding across multiple service types, with responsibility for data abstraction and mentoring junior coders.

Strong knowledge of encoder tools and Coding Clinic guidance is required. The candidate will review documentation for accurate code assignment, ensure compliance with HIPAA and organizational policies, and collaborate with revenue cycle teams to resolve

Qualifications

• Must have medical terminology and coding knowledge.
• Experience with ICD10, CPT, HCPCS coding guidelines is required.
• HIPAA compliance and ethical coding practices are essential.

Responsibilities

• Apply advanced ICD10, CPT, and HCPCS coding principles to accurately code complex medical records across multiple service types.
• Perform detailed data abstraction to ensure complete and accurate information is entered into coding and billing systems.
• Serve as a resource and mentor to Coder I staff, providing guidance, clarification, and education when requested.
• Utilize encoder tools, Coding Clinic guidance, and organizational coding policies to ensure compliance with regulatory standards and internal quality expectations.
• Review and interpret documentation to support proper code assignment while preventing errors that may impact reimbursement or compliance.
• Collaborate with supervisors, revenue cycle staff, or clinical departments to resolve coding discrepancies and enhance documentation quality.

Skills

Medical terminology

Coding knowledge

Organizational skills

Typing 35 wpm

Education

High school diploma or GED

Associates degree

AHIMA or AAPC certification

Tools

Billing software

Encoder tools

Job description

Job Details

Job Location: Remote - Minot, ND 58701

Position Type: Full Time

Salary Range: $21.74 - $32.61 Hourly

Job Shift: Days

Position Summary

The Coder/Abstractor II is a senior-level coding professional responsible for performing advanced coding functions with accuracy, efficiency, and a comprehensive understanding of coding guidelines. This role supports the coding team by serving as a mentor and resource for Coder/Abstractor I staff when needed, helping guide less experienced coders through complex cases and documentation challenges. Individuals in this position consistently apply expert-level knowledge of coding rules, effectively use encoder tools and reference materials, and maintain high standards of compliance and ethical coding practices. The role also includes online abstraction of records and may involve working with various payment methodologies such as DRG and APC. Strong organizational skills, attention to detail, and adherence to regulatory and departmental standards are essential to success in this position.

Key Responsibilities

• Apply advanced ICD10, CPT, and HCPCS coding principles to accurately code complex medical records across multiple service types.


• Perform detailed data abstraction to ensure complete and accurate information is entered into coding and billing systems.


• Serve as a resource and mentor to Coder I staff, providing guidance, clarification, and education when requested.


• Utilize encoder tools, Coding Clinic guidance, and organizational coding policies to ensure compliance with regulatory standards and internal quality expectations.


• Review and interpret documentation to support proper code assignment while preventing errors that may impact reimbursement or compliance.


• Collaborate with supervisors, revenue cycle staff, or clinical departments to resolve coding discrepancies and enhance documentation quality.

Qualifications Licenses and Certifications Required

• CIC, COC, CPC, CPCA, CCSP, CCS, RHIT, or RHIA required.

Educational Requirements

• High school diploma, GED, Associates Degree, AHIMA or AAPC certification required.

Experience Requirements

• Minimum of 6 months experience as a Coder I unless has one year of exact coding experience at previous facility.


• CPCA must have 2 years of coding experience.

Special Skills or Training Requirements

• Minimum typing skills of 35 characters per minute.


• Medical terminology and coding knowledge, required.


• Organizational skills required.


• Computer skills with billing knowledge preferred.

Physical Requirements

This position requires extended periods of sitting and continuous use of a computer, keyboard, and mouse to review documentation, assign codes, and enter data. Work involves repetitive hand motions and sustained visual focus while analyzing detailed clinical information. Occasional movement, such as standing or stretching, may be needed throughout the day to maintain comfort and focus.

Environmental Requirements

The role is performed in an office or remote setting where reliable technology, secure systems access, and strict adherence to confidentiality standards are essential. Work involves frequent electronic communication with team members, supervisors, and other departments. A quiet, organized environment is necessary to support concentration and ensure the accuracy required for complex coding tasks, while compliance with HIPAA and all organizational privacy standards must be maintained at all times.