Certified Coder
About The Position
Carolina NeuroSurgery & Spine Associates (CNSA), established in 1940, is one of the largest and most highly respected neurosurgical private practices in the nation. As a physician-led, multi-site organization, we are recognized for clinical excellence and innovation in brain and spine care. Through our growing MSO, PracticeCore, and strategic partnerships, we are building a scalable, forward-thinking platform to support providers and deliver exceptional patient care. Job Objective: To maximize practice revenue by working effectively and efficiently with others to meet monthly RCM goals. Promotes positivity and collaboration within all CNSA departments.
Requirements
- A high school graduate with strong organizational, writing and verbal communication skills
- Minimum 1 year of coding experience in a health care organization
- CPC Certification from the American Academy of Professional Coders
- Knowledge: ICD-10, CPT, and HCPCS codes
- Knowledge: Medical terminology and organizational services
- Knowledge: Payer guidelines
- Knowledge: Legal and ethical considerations related to patient information
- Knowledge: HIPAA guidelines and policies
- Knowledge: Awareness and understanding of interdepartmental responsibilities for informed decision making
- Skills: Time management, problem solving, multitasking, and prioritizing
- Skills: Effective communication
- Skills: Basic understanding of Microsoft Office Suite and Electronic Medical Record (EMR) systems
- Skills: Detail orientation
- Abilities: Establishes and maintains effective working relationships with coworkers and diverse patient populations
- Abilities: Analyzes situations and responds appropriately
- Abilities: Organizes and prioritizes information and assignments
- Abilities: Works independently with little or no supervision
Responsibilities
- Reviews operative reports, notes, etc., and research to assign correct CPT and Diagnosis codes for surgeries and injections
- Reviews documentation to assign and submit accurate diagnosis codes for lower-level hospital rounds, consults, and admits
- Reviews and verifies codes to resolve pre-cert and insurance denials
- Reviews and research documentation to provide accurate CPT codes and estimates for Financial Counselors, pre-cert department, surgery schedulers, etc.
- Writes letters of medical necessity for providers required for pre-authorization and insurance denials
- Communicates with providers and staff to ensure accurate coding of services
- Sends overflow surgeries and op-notes, Medicare consults, and high-level evaluations to third party for coding; Reviews for accuracy upon receipt
- Identifies common coding mistakes for the practice and reports to manager
- Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations
- Maintains compliance with established coding guidelines and federal and state regulations
- Completes additional tasks and projects as assigned by director
- Reflects CNSA Core Values in all job responsibilities and interactions
- Reports to work and adheres to assigned schedule from manager
- Performs high-quality work that is neat, accurate, complete, and on time
- Offers help to all patients by promptly responding to requests and needs
- Asks questions to gain full understanding of assignments
- Uses computer for approved work purposes only, and limits personal phone calls
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
