Anesthesia/Surgical Coder

Physicians East•Greenville, NC

4d•Onsite

About The Position

Physicians East, P.A. is a team of healthcare professionals focused on delivering quality, cost-efficient, comprehensive healthcare to Eastern North Carolina. The Anesthesia/Surgical Coder reviews clinical documentation and assigns appropriate CPT/ASA and ICD-10-CM codes for anesthesia and surgical visits. The coder consults coding manuals and established criteria, applies payer rules and guidelines, and may collaborate with clinic supervisors, providers, and the Revenue Management team to resolve complex coding questions. The role also involves researching coding and billing requirements, reviewing edits and documentation for errors, maintaining assigned work queues within processing timeframes, and submitting provider queries when clarification is needed. This is a full-time position based at the Greenville Arlington Boulevard location, Monday through Friday, 8 a.m. to 5 p.m.; overtime may be required.

Requirements

High school diploma or GED.
At least three years of recent experience in anesthesia and pain coding.
Knowledge of anesthesia coding and anesthesia claim elements, including time units and anesthesia modifiers.
Understanding of rules and regulations governing Medicare billing for anesthesia and pain services.
Knowledge of NCCI, ICD-10-CM, CPT, and modifiers pertaining to anesthesia and pain services.
Knowledge of medical terminology, anatomy, and physiology.
Epic experience.
CPC, CCS, or CCSP certification upon hire.

Nice To Haves

AAPC/AHIMA Certified Anesthesia and Pain Management Coder (CANPC) certification.

Responsibilities

Assign appropriate CPT/ASA codes using the CPT-4/ASA manual and established 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 appropriate modifiers for anesthesia and surgical coding cases based on patient record documentation.
Understand, retain, and research coding and billing rules, regulations, and requirements, including reasons for actions on edits.
Critically review information 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.
Submit appropriate queries to providers when clarification is needed.
Follow established protocols to promote departmental efficiency and timely claim filing.
Collaborate with clinic supervisors, providers, and the Revenue Management team to resolve complex coding issues and questions.
Perform other related research and reviews as assigned.