Certified Outpatient Surgery Coder

Southern Illinois Healthcare

90d • $24 - $37

About The Position

The position involves reviewing provider documentation and revising and/or assigning ICD-10-CM codes and CPT/HCPCS codes as appropriate, based on official coding guidelines. The coding focus is on complex outpatient hospital-based services such as Observation, Emergency Department, Wound, and Ambulatory Surgery, or provider-based complex procedural services including surgery and procedures. The role requires researching and taking appropriate action on any coding or claim edits.

Requirements

• High School Diploma required.
• Preferred Associate or Bachelor Degree in Health Information or a healthcare-related discipline.
• Required Licenses: RHIA, RHIT, or CCS (hospital); RHIA, RHIT, CCS, CCS-P, CCA, or CPC (provider-based).
• For Provider Based: 3 years procedural coding required for CCS-P, CCA, or CPC.

Responsibilities

• Follows all coding policies, procedures, and standard operating procedures.
• Effectively uses encoding software and reference materials to assign appropriate codes.
• Reviews and accepts or revises code selection based upon documentation and coding guidelines.
• Reviews provider documentation and assigns appropriate codes based upon coding guidelines.
• Reviews coding edits and accurately resolves them so encounters can be sent to claims.
• Sends clear, respectful communications to provider inbasket or queries when additional information is needed before finalizing coding.
• Identifies and communicates to Coding Lead/Supervisor/Manager any issues related to documentation, coding, or systems that may impact quality, compliance, or productivity.
• Performs work queue duties as assigned by Coding Lead/Supervisor/Manager.
• Maintains coding quality and productivity standards.
• Actively engages and makes meaningful contributions when participating in performance improvement initiatives, department meetings, and other meetings as required.
• Maintains required CEUs.

Benefits

• Opportunities to develop and grow professionally.
• Environment of excellence in patient care.
• Experiential learning opportunities for students.
• SIH Scholarship Program for college scholarship money and hands-on work opportunities.

What This Job Offers

• Education Level: High school or GED