Coder II - Trauma

Aurora Health Care; Allenton (WI); Remote; USD 60,000 - 90,000; Full time

Job summary

Aurora Health Care in Wisconsin seeks an experienced medical coder to handle complex professional fee coding for physician services in office and hospital settings.

You will also perform facility coding for outpatient and basic inpatient encounters, ensure compliance with AAPC/AHIMA and CMS guidelines, and mentor newer staff.

The role requires 3–5 years of direct coding experience, an active AAPC or AHIMA credential, and proficiency with Epic or similar EMR systems.

Qualifications

• Active coding certification issued by AAPC or AHIMA; dual certifications preferred.
• High School Diploma or equivalent; completion of accredited medical coding or HIM program.
• 3–5 years of direct professional fee coding experience in a multi-specialty environment.
• Experience with Epic or similar EMR systems.

Responsibilities

• Independently perform complex, specialty-specific professional fee coding for physician services in office or hospital settings.
• Perform entry-level facility coding for outpatient encounters and basic inpatient services where applicable.
• Ensure coding adheres to AAPC/AHIMA guidelines, CMS regulations, and organizational compliance.
• Identify the need for clinical queries for documentation clarification when necessary.
• Maintain high accuracy and productivity; meet deadlines in a fast-paced environment.
• May provide informal guidance to new coding staff.

Skills

Medical terminology

CPT/HCPCS coding

ICD-10-CM/PCS coding

Attention to detail

Time management

Independent work

Education

High School Diploma or equivalent

Medical coding or HIM program

Tools

Epic

EMR systems

Job description

• 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

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

• Minimum of 3-5 years of direct professional fee coding experience in a multi-specialty environment is required
• Experience with professional procedural coding (e.g., surgical, interventional procedures) is preferred
• Experience with Epic or similar electronic health record systems is required

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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