Highmark Health CODER II in Pittsburgh, Pennsylvania

Company :

Allegheny Health Network

Job Description :


Performs thorough medical record review to abstract medical and diagnoses and procedures utilizing ICD and CPT coding classification systems and encoder to meet financial, third party and federal/state regulatory standards.


  • Reviews and interprets medical information, physician treatment plans, courses, and outcomes to determine appropriate ICD/CPT codes for diagnoses and procedures. (65%)

  • Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into the hospital information system. (15%)

  • Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)

  • Keeps informed of the changes/updates in the ICD/CPT by attending appropriate training, reviewing coding clinics and other resources and implements these updates in their daily work. (5%)

  • Performs other duties as assigned. (5%)



  • High school diploma or GED.

  • Successful completion of college level courses in anatomy and physiology and medical terminology.

  • Basic computer skills.


  • Associate‚Äôs Degree in Health Information Technology.

  • Knowledge of ICD and CPT coding and reporting guidelines.

  • Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPCH), Certified Coding Specialist-Physician (CCSP) or Certified Coding Specialist (CCS).

  • 1 year inpatient / outpatient coding experience.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

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