The Coder Specialist II is responsible for appropriately abstracting and coding procedures, surgeries, and evaluation and management visits for assigned specialties. In addition, the Coder Specialist II may require training of other coding, billing and physician staff.

• Performs accurate and timely coding (CPT, ICD-9, ICD-10, HCPCS, modifiers).
• Maintains knowledge with such issues as HCFA coding regulations, Medicare rules, visits and procedures on the same day, consultation vs. referral, surgeries, etc.
• Understands and implements coding guidelines for multi-specialty surgical practices and/or sophisticated surgical coding.
• Is present in seminars and workshops, as applicable, for updates on new coding rules and regulations.
• Elevates issues, as appropriate, to the Coding Supervisor and Manager.
• Meets efficiency and quality standards.
• Understands coding trends to include NCD, LCD, and CMS guidelines.
• Identifies trends and issues with overall division and individual physician coding practices and presents solutions.
• Maintains confidentiality of patient care and business matters.
• Follows policies and procedures pertinent to the coding and compliance departments.
• Performs other duties as assigned.