Certified Coder
About The Position
Abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 and/or CPT-4 codes to patient records according to established procedures. Works with coding databases and confirms DRG assignments. Codes data from patient records utilizing coding systems to ensure optimal reimbursement of the office visits and hospital surgery for all surgeons and mid-levels of the practice. Translates diagnostic and procedural information using the International Classification of Diseases codes and sequences these codes in a manner which legitimately optimizes office and hospital reimbursement through the use of proper coding and modifiers.
Requirements
- High School Diploma or greater
- Certificate Program Medical Coding & Billing
- Certified Professional Coder, CPMA – Certified Medical Auditor, CGSC – Certified General Surgery Coder
- at least 2 years experience in general surgery coding and medical records using ICD and CPT coding systems.
Responsibilities
- Skilled in accurate assignment and auditing of ICD-10-CM, CPT, HCPCS, and E/M services for inpatient, outpatient and office-based encounters.
- Abstracts data from patients’ medical records in order to compile accurate and timely statistical data.
- Reviews and analyzes all patient types to determine the principal diagnosis and procedure and other significant diagnoses and procedures.
- Logs into hospital portals to extract patient data when needed.
- Identifies and verifies medical and surgical complications and comorbidities as well as medical necessity. Works independently reviewing medical record documentation, laboratory reports, radiology reports, and consultation reports to identify medical conditions evaluated and treated during the visit.
- Corrects claims with incorrect codes to ensure compliance with required regulations and accreditation standards.
- Responds to surgeon inquiries that concern the proper documentation of diagnostic procedural information and questions regarding coding assignments.
- Clarifying ambiguous documentation or missing details directly with surgeons to ensure records are compliant and complete.
- Work hold buckets and ensure all coding needs are satisfied.
- Codes claims on a timely basis to ensure quick billing processing.
- All other duties as assigned, within the scope and range of job responsibilities.
Benefits
- Generous Paid Time Off and Paid Holidays
- 401(k)
- Excellent Health, Dental, and Vision
- Disability and Life Insurance options
- Educational Reimbursement
- Flex Spending Accounts
- Critical Care Coverage
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
