Coder II - Surgical (Remote)

Cedars-Sinai Medical Center•Los Angeles, CA

12d•Remote

About The Position

The Coder II - Surgical works under the general direction of the Coding Supervisor to assign ICD-10-CM and CPT codes for patients receiving services at CSMC and Cedars-Sinai affiliates. The role applies knowledge of CSMC and official coding guidelines, medical terminology, anatomy and physiology, disease processes, documented treatment, and procedures. It accurately assigns applicable modifiers to support optimal reimbursement and high-quality data. The position performs timely coding for CPT, ICD-10, HCPCS, and modifiers; applies coding guidelines for multispecialty and complex surgical practices; monitors coding regulations and reimbursement guidance; and meets productivity and quality standards. The coder identifies trends and issues in division and physician coding practices, proposes solutions, escalates issues as appropriate, maintains patient and business confidentiality, follows coding and compliance policies, and attends seminars or workshops for updates to coding rules and regulations. The position is remote and is approved for work from Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon, or Texas.

Requirements

Certified Professional Coder (CPC) certification.
High school diploma or GED.
At least 2 years of experience performing ICD-10 and CPT code assignments in a healthcare setting.
At least 2 years of surgical coding experience within a multispecialty medical group or physician practice.
Familiarity with ICD-10-CM, CPT-4 coding, and payment methodologies.
Working knowledge of California and national reporting requirements.
Provide a cover letter detailing orthopedic surgery, spine surgery, neurospine, and multispecialty coding experience.

Nice To Haves

Certified Orthopaedic Surgery Coder (COSC) certification.
Experience coding for multispecialty practices such as orthopedics, cardiothoracic surgery, neurosurgery, general surgery, obstetrics/gynecology, or gastroenterology.

Responsibilities

Accurately and promptly assign CPT, ICD-10, HCPCS, and applicable modifier codes for patients receiving services at CSMC and Cedars-Sinai affiliates.
Apply coding guidelines for multispecialty surgical practices and complex surgical coding.
Maintain familiarity with coding regulations, Medicare rules, same-day visits and procedures, consultation versus referral, surgeries, and related coding issues.
Understand coding trends and apply NCD, LCD, and CMS guidelines.
Identify trends and issues in division-wide and individual physician coding practices and present solutions.
Meet productivity and quality standards designated by the Coding Supervisor and Manager.
Escalate issues to the Coding Supervisor and Manager as appropriate.
Attend seminars and workshops, as applicable, to stay current on coding rules and regulations.
Maintain confidentiality of patient care and business matters.
Follow policies and procedures pertinent to the coding and compliance departments.