Coder II - HB Facility Outpatient ED

Aurora Health Care; Allenton (WI); Remote; USD 60,000 - 75,000; Full time

Job summary

Aurora Health Care seeks a professional medical coder to perform complex CPT/HCPCS and ICD-10-CM/PCS coding for physician services, in both office and hospital settings.

You will handle entry-level facility coding for outpatient and basic inpatient encounters, ensure compliance with CMS and AHIMA guidelines, and identify clinical queries when needed. This remote role requires strong attention to detail and familiarity with Epic or similar EHR systems.

Qualifications

• Active coding certification required (AAPC or AHIMA).
• Dual certifications preferred.
• Experience in facility coding preferred.

Responsibilities

• Perform complex CPT/HCPCS and ICD-10-CM/PCS coding for physician services.
• Perform entry-level facility coding for simple outpatient and basic inpatient encounters.
• Ensure coding adheres to official guidelines (AAPC/AHIMA, CMS) and compliance standards.
• Identify need for formal clinical queries for documentation clarification.
• Maintain high accuracy and productivity; may mentor new staff.

Skills

CPT/HCPCS coding

ICD-10-CM/PCS coding

Modifiers & E/M guidelines

Medical terminology

Education

High School Diploma or Equivalent

Accredited medical coding or HIM program

Tools

Epic

Job description

Major Responsibilities

• Independently perform complex, specialty‑specific professional fee coding (CPT/HCPCS and ICD-10-CM) for physician services rendered in both office and hospital settings, ensuring expert application of modifiers and E/M guidelines, or;
• Perform entry-level facility coding for simple outpatient encounters (e.g., diagnostic imaging, labs) and basic inpatient services (e.g., uncomplicated admissions, short stays) using ICD-10-CM and ICD-10-PCS, where applicable
• Ensure all coding adheres strictly to official guidelines (e.g., provided by AAPC or AHIMA), federal regulations (CMS), and organizational compliance standards
• Identify the need for formal clinical queries for documentation clarification when necessary for professional or facility records
• Maintain high accuracy and productivity standards appropriate to the complexity of the assigned workload
• May provide informal guidance to new coding staff on professional coding nuances

Licensure, Registration, and/or Certification Required

• An active coding certification issued by the American Academy of Coders (AAPC) OR American Health Information Management Association (AHIMA);
• Dual certifications, preferred

Education Required

• High School Diploma or Equivalent required
• Completion of an accredited medical coding or HIM program (or equivalent experience)

Experience Required

• Foundational experience in facility coding (via education, externship, or applied work) covering basic outpatient and basic inpatient records.
• Experience with Epic or similar electronic health record systems is a plus

Knowledge, Skills & Abilities Required

• Proficient knowledge of medical terminology, anatomy, and pathophysiology
• Advanced proficiency in CPT/HCPCS and ICD-10-CM/PCS coding systems
• Basic understanding of facility payment methodologies (MS-DRGs) as they apply to simple encounters
• Strong analytical skills, attention to detail, and ability to context‑switch between different coding guidelines
• Ability to work independently, manage a varied workload, and meet deadlines in a fast‑paced environment

Physical Requirements and Working Conditions

• Exposed to normal office environment in a remote work setting
• Job may require occasional travel for training or meetings, therefore, may be exposed to road and weather hazards
• May need to be able to lift up to 40 lbs. occasionally (e.g., equipment)
• Sits the majority of the workday, but also may lift, reach, and bend throughout the day
• Operates all equipment necessary to perform the job

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

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