Coder II

AAPC; Costa Mesa (CA); On-site; USD 60,000 - 90,000; Full time

Benefits offered by this job

Health benefits

Referral program

Growth opportunities

Job summary

AAPC is seeking a Coder II in Costa Mesa, CA to review clinical documentation, apply ICD-10-CM codes, and support billing, reporting, and compliance. The role requires 2+ years of coding experience, CPC/COC/CCS-P/CCS/CPMA certifications, and proficiency with Epic EMR.

The Coder II will ensure accurate coding, participate in quality meetings, and act as a subject matter expert for providers while maintaining 95% accuracy or higher.

Qualifications

• Minimum 2+ years of work experience as a medical coder.
• Experience in multiple specialties (OB/GYN, Urology, Oncology, Cardiology, Orthopedics, etc.).
• Knowledge of E/M coding.
• Certifications required: CPC, COC, CCS-P, CCS, or CPMA.
• Languages: English (Speaking, reading, writing).
• Skills: External reporting, ICD-10-CM coding, Medical coding, Billing.

Responsibilities

• Review clinical documentation and apply ICD-10-CM codes to diagnoses, procedures, and treatment results.
• Code for billing, reporting, research, and regulatory compliance.
• Adhere to AHIMA standards and official coding guidelines.
• Verify ICD-10-CM codes are correctly captured and that physician abstraction is accurate.
• Stay current with coding guideline changes through study and trainings.
• Participate in internal and external quality review meetings.
• Serve as a coding consultant to client providers and SMEs.
• Complete coding charge review and edits in Epic or other EMR systems.

Skills

ICD-10-CM coding

Medical coding

Billing

External reporting

Internal reporting

E/M coding knowledge

Education

High school diploma or equivalent

Tools

Epic EMR

Job description

Coder IIOur client, a healthcare company, is looking for a Coder II for their Costa Mesa, CA location.

Responsibilities

• The coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM codes to support diagnoses, procedures, and treatment results.
• Codes are used for billing, internal and external reporting, research, and regulatory compliance activities.
• Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines.
• Verify that all ICD-10-CM codes are correctly captured.
• Verify that physician is correctly abstracted.
• Keeps abreast of coding guideline changes by self-study, assigned education, coding meeting attendance or related in-services.
• Participates in internal and external quality review meetings.
• Performs other duties as assigned.
• In addition to the above, the coder meets ongoing productivity and quality standard of 95% accuracy rate or better.
• The coder follows all coding conventions and serves as a coding consultant to client providers.
• Discrepancies are identified that may impact quality of care and/or billing issues.
• The coder will serve as a resource and subject matter expert to other coding staff.
• Completes coding charge review and claim edits in Epic or other appropriate EMR system which would entail coding and correcting ICD-10 codes, modifiers, CPT, E/M, and procedure codes.

Coding - client Clinic:

• Required: Minimum 2+ years of work experience as a medical coder.
• Preferred: Coding experience in multiple specialties to include but are not limited to: OB/GYN, Urology, Oncology, Pain Management, Cardiology, General Surgery, Cardiothoracic, Neurosurgery, Neurology, and Orthopedics procedures.
• Knowledge of E/M coding.
• Certifications required: For Coding - client Clinic: Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Coding Specialist Physician-Based (CCS-P), Certified Coding Specialist (CCS), or Certified Professional Medical Auditor (CPMA).
• Languages: English (Speak, Read, Write).
• Skills: Required: External reporting, ICD-10-CM coding, Medical coding, Billing, Internal Reporting.

Requirements

• Critical thinking
• diversity
• technical and equipment skills
• interpersonal skills
• job knowledge
• oral/written communication
• possible travel
• Business acumen
• customer satisfaction
• innovation
• trust and accountability

Education

High school diploma or equivalent required.

Why Should You Apply?

• Health benefits
• Referral program
• Excellent growth and advancement opportunities.