Coder

Surgical Information Systems Careers•Alpharetta, GA

12h•Remote

About The Position

This position is a new addition to the team due to continued company growth and represents an excellent opportunity to join a growing Coding organization. We are seeking a motivated and detail-oriented Certified Coder who is eager to make an impact by ensuring accurate, compliant, and timely coding for ambulatory surgical procedures. This role is ideal for someone who enjoys precision, collaboration, and contributing to the financial and data integrity of healthcare operations within a supportive, remote environment.

Requirements

Current certification in one of the following: CPC, RHIA, or RHIT.
Completion of formal education in ICD-9-CM/ICD-10/CPT coding, medical terminology, anatomy and physiology, and disease processes.
Proficiency with computers and Windows-based software.
Strong written and verbal communication skills in English.
Collaborative and professional work style with colleagues, management, physicians, patients, and external partners.
Ability to represent the company positively with patients, insurance carriers, and the general public.
Strong problem-solving skills related to assigned responsibilities.
Minimum of two years of acute care coding experience, including Inpatient, SDS, and ER cases, with a strong emphasis on Inpatient coding.

Responsibilities

Review, analyze, and accurately code ambulatory surgical procedures for reimbursement.
Obtain and review operative reports, implant invoices, implant logs, and pathology reports as applicable.
Ensure accurate, complete, and consistent coding practices to support high-quality healthcare data.
Adhere to ICD-9/ICD-10 coding conventions and official coding guidelines approved by CPT, AMA, AAOS, and CCI.
Apply current knowledge of mandated coding and classification systems, along with official resources, to select appropriate diagnostic and procedural codes.
Assign and report codes that are clearly supported by documentation in the patient health record.
Collaborate with physicians to obtain clarification or additional documentation when data is conflicting, incomplete, or ambiguous.
Support optimal and compliant reimbursement while ensuring adherence to all legal and regulatory requirements.
Assist with physician and clinician education by promoting proper documentation practices.
Maintain and enhance coding expertise by staying current with changing codes, guidelines, and regulations.
Maintain a coding accuracy rate of 90% or higher.
Code a minimum of 50 cases per day while maintaining quality and compliance.
Review operative reports for accuracy, identifying omissions or errors and returning them for correction as needed.
Ensure equitable coding practices for all third-party carriers and self-pay cases.
Adhere to OIG guidelines, ensuring: Diagnosis coding is accurate and carried to the highest level of specificity. Claim forms are not altered to obtain higher reimbursement. All coding accurately reflects services provided, with careful review for unbundling, up-coding, or downcoding.
Participate in claim denial reviews related to coding issues and provide appropriate supporting documentation when required.
Complete coding variance or code disagreement forms for assigned centers, as applicable.
Maintain and update coding site-specific requirements for each assigned center.
Identify, track, and follow up on cases that cannot be billed due to missing documentation, providing documented requests to centers on a daily or weekly basis.
Perform month-end closing activities within established timeframes, including running reports and tracking unbilled cases.
Participate in internal audits and make corrections as identified to ensure ongoing quality and accuracy.