Anesthesia/Surgical Coder

Physicians East•Greenville, NC
•Onsite

About The Position

Physicians East, P.A. is seeking an Anesthesia/Surgical Coder to review clinical documentation and assign appropriate CPT/ASA and ICD-10-CM codes for anesthesia and surgical visits. The coder uses applicable coding manuals, established criteria, payer rules, and guidelines, and may work with clinic supervisors, providers, and the Revenue Management team to resolve complex coding questions. The role requires recent anesthesia and pain coding experience, detailed knowledge of coding principles and payer requirements, and strong communication skills. It is a full-time position at the Greenville Arlington Blvd. location, Monday through Friday, 8 a.m. to 5 p.m. Overtime may be required to complete work and return calls in a timely manner.

Requirements

  • High school diploma or GED.
  • At least three years of recent experience in anesthesia and pain coding.
  • Knowledge of anesthesia coding and elements of anesthesia claims, including time units and anesthesia modifiers.
  • Understanding of rules and regulations governing Medicare billing of anesthesia and pain services.
  • Knowledge of NCCI, ICD-10-CM, CPT, and modifiers related to anesthesia and pain services.
  • Knowledge of medical terminology, anatomy, and physiology.
  • Epic experience.
  • CPC, CCS, or CCSP certification upon hire from AAPC/AHIMA.
  • Exceptional attention to detail and strong communication skills.

Nice To Haves

  • Certified Anesthesia and Pain Management Coder (CANPC) certification.

Responsibilities

  • Assign appropriate CPT/ASA codes using the CPT-4/ASA manual and criteria, and ICD-10-CM diagnosis codes to anesthesia visits.
  • Assign appropriate CPT codes using surgical coding guidelines and criteria, and ICD-10-CM diagnosis codes to surgical visits.
  • Determine time units, total units, and the appropriate use of modifiers based on patient record documentation.
  • Understand, retain, and research coding and billing rules, regulations, and requirements, including reasons for actions on edits.
  • Review information critically to identify coding errors or problems, run concurrency reports for anesthesia time discrepancies, and escalate complex overlaps.
  • Maintain assigned work queues and coding assignments within defined processing timeframes, and submit provider queries for clarification when needed.
  • Follow established protocols to promote departmental efficiency and timely claims filing.
  • Conduct other related research and reviews as assigned.
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