Also referred to as: Clinical Coding Specialist II, Medical Records Coder II, Medical Records Coding Specialist II- Certified
Requirements and Responsibilities

Medical Records Coding Technician II abstracts clinical information from medical records and assigns the appropriate ICD or CPT codes using industry-standard coding guidelines. Assigns required DRG (diagnosis-related grouping) codes. Being a Medical Records Coding Technician II works with coding databases and software to input and maintain data according to standard procedures. Performs quality audits of work. Additionally, Medical Records Coding Technician II maintains and up-to-date knowledge of coding and documentation requirements. Requires a medical coding certification. The exact type of coding certification may vary based on the clinical setting or a medical specialty focus. Requires a high school diploma. The AAPC Certified Professional Coder (CPC) certification is typically required. The Certified Coding Specialist (CCS) certification is also a typical requirement. Typically reports to a supervisor or manager. The Medical Records Coding Technician II works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Medical Records Coding Technician II typically requires 1-3 years of related experience.

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