Certified Surgery Coder

Southern Illinois Healthcare

6d•$24 - $37

About The Position

Position Summary • Reviews provider documentation and revises and/or assigns ICD-10-CM codes and CPT/HCPCS codes as appropriate, based on official coding guidelines. Researches and takes appropriate action on any coding/claim edits. • Coding focus is complex outpatient hospital based (Observation, Emergency Department, Wound, Ambulatory Surgery) or provider based complex procedural services (surgery, procedures, wound).

Requirements

High School Diploma required.
RHIA, RHIT, or CCS (hospital)
RHIA, RHIT, CCS, CCS-P, CCA, or CPC (provider based)
Hospital & Provider Based: RHIA, RHIT, CCS – None.
Provider Based: CCS-P, CCA, or CPC – 3 years procedural coding required.
Intermittent hand manipulation required
Intermittent lifting and carrying of 20 pounds

Nice To Haves

Preferred Associate or Bachelor Degree in Health Information or a healthcare related discipline.

Responsibilities

Reviews provider documentation and revises and/or assigns ICD-10-CM codes and CPT/HCPCS codes as appropriate, based on official coding guidelines.
Researches and takes appropriate action on any coding/claim edits.
Coding focus is complex outpatient hospital based (Observation, Emergency Department, Wound, Ambulatory Surgery) or provider based complex procedural services (surgery, procedures, wound).
Follows all coding policies, procedures, standard operating procedures
Effectively uses encoding software and reference materials to assign appropriate codes.
Provider driven coding: Reviews and accepts or revises code selection based upon documentation and coding guidelines.
Non – provider driven coding: Reviews provider documentation and assigns appropriate codes based upon coding guidelines
Reviews coding edits and accurately resolves so encounter 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 que duties as assigned by Coding Lead/Supervisor/Manager.
Maintains coding quality and productivity standards
Actively engages and makes meaningful contribution when participating in performance improvement initiatives, department meetings and other meetings as required.
Maintains required CEU’s