Coder II - ProFee Trauma Surgery

Lee Health
Cape Coral, FL

Location: Remote - FL

Department: Coding

Work Type: Full Time

Shift: Shift 1/8:00:00 AM to 4:30:00 PM

Minimum to Midpoint Pay Rate: $19.89 - $27.85 / hour

This is a remote position. Incumbents, who reside in Florida only, may work remotely. There may be occasional situations that require work to be performed on-site at an assigned Lee Health location.

Summary

Abstracts data from medical records into Epic and 3M 360 to provide a detailed case summary of medical, demographic, and statistical information. Identifies and codes diagnoses and procedures for medical records according to ICD-10-CM and CPT-4 guidelines, including department modifications. Identifies primary diagnosis and procedure as well as pertinent secondary diagnoses and procedures.. Follows procedures mandated by government and other payers for completion of coded data including APC assignments.

Includes inpatient E/M coding and clinic E/M coding as well as trauma surgery coding and bedside procedure coding. Experience required in at least E/M coding or trauma surgery coding.

Facility Specific: Responsible for coding SDS, Observation, and as needed ED, Diagnostic, and Ancillary records.

Professional Fee Specific: Responsible for coding Surgical Records, Evaluation & Management Encounters, ED (with E&M) and as needed Diagnostic, HCC, Retrospective Coding, Documentation Quality Assurance, and Ancillary records.

Requirements

Educational Requirements

Degree/Diploma Obtained Program of Study Required/
Preferred
and/or
High School Diploma or Equivalent Required

Experience Requirements

Minimum Years Required Area of Experience Required/
Preferred
and/or
1 Year Outpatient Coding Required

Additional Requirements

1 Year of Outpatient (Acute Care Hospital or Physician) Multidisciplinary Coding and/or Provider E&M Level of Service Coding (Professional Fee Only).

State of Florida Licensure Requirements

Licenses Required/
Preferred
and/or
Not Required

Certifications/Registration Requirements

Certificates/Registrations Required/
Preferred
and/or
CPC (Certified Professional Coder) Preferred or
COC (Certified Outpatient Coding) Preferred or
CPC-P (Certified Professional Coder-Payer) Preferred or
CCS (Certified Coding Specialist) Preferred or

Additional Requirements

CRC (Certified Risk Adjustment Coder) required -or- CIC (Certified Inpatient Coder) required -or- RHIT (Registered Health Information Technician) required -or- RHIA (Registered Health Information Administrator) required. Minimum of one coding certification (listed above). Other specialty certifications from AAPC or AHIMA will be considered.

US:FL:Cape Coral

Posted 2025-09-10

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