Coder

Surgical Information Systems Careers • Alpharetta, GA

2d

About The Position

For over 29 years, Surgical Information Systems (SIS) has empowered surgical providers to Operate Smart™ by delivering innovative software and services that drive clinical, financial, and operational success. For ambulatory surgery centers (ASCs), SIS provides comprehensive software and services, including ASC management, electronic health records (EHRs), patient engagement capabilities, compliance technology, and revenue cycle management and transcription services, all built specifically for ASCs. For hospital perioperative teams, SIS offers an easy-to-use anesthesia information management system (AIMS). Serving over 2,700 surgical facilities, SIS is committed to delivering solutions that enable surgical providers to focus on what matters most: delivering exceptional patient care and outcomes. Recognized as the No. 1 ASC EHR vendor by Black Book for 10 consecutive years and honored with the Best in KLAS Award for ASC Solutions in 2025, 2023, and 2022, SIS remains the trusted choice for surgical providers seeking to enhance their performance. Discover how SIS can help you Operate Smart™ at sisfirst.com . SUMMARY: The Medical Coder will play a key role in reviewing and analyzing medical billing and coding for processing. The Medical Coder will review and accurately code ambulatory surgical procedures for reimbursement.

Requirements

• High school graduate or GED certification
• Required certification in one of the following : CPC, RHIA, RHIT
• Successful completion of formal education in basic ICD-9-CM/ICD-10/CPT coding, medical terminology, anatomy/physiology and disease process.. 
• Knowledge of computers and Windows-driven software
• Excellent command of written and spoken English
• Cooperative work attitude toward and with co-employees, management, patients, outside contacts
• Ability to promote favorable company image with patients, insurance companies, and general public
• Ability to solve problems associated with assigned task
• Minimum of 2 years outpatient surgery coding experience with facility coding (OPPS, ASC) recommended.

Responsibilities

• Obtain operative reports
• Obtain implant invoices, implant logs, and pathology reports as applicable
• Supports the importance of accurate, complete and consistent coding practices for the production of quality healthcare data.
• Adheres to the ICD-9/ICD-10 coding conventions, official coding guidelines approved by CPT, AMA, AAOS, and CCI.
• Uses skills and knowledge of the currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes.
• Assigns and reports the codes that are clearly supported by documentation in the health record.
• Consults physicians for clarification and additional documentation prior to code assignment when there is conflicting or ambiguous data in the health record.
• Strives for the optimal payment to which the facility is legally entitled.
• Assists and educates physicians and other clinicians by advocating proper documentation practices.
• Maintains and continually enhances coding skills.  Coders need to be aware of changes in codes, guidelines, and regulations.  They are required to maintain 90% or above coding accuracy average.
• Codes a minimum of 50 cases on a daily basis.
• Assures accurate operative reports by checking spelling, noting omissions and errors and returning to transcription for correction.
• Codes all third party carriers and self- pay cases equitably for patient services and supplies provided.
• Adheres to OIG guidelines which include: Diagnosis coding must be accurate and carried to the highest level of specificity. Claim forms will not be altered to obtain a higher amount. All coding will reflect accurately the services provided and cases reviewed for the possibility of “unbundling”, “up-coding” or downcoding.” Coders may be involved in denials of claims for coding issues. Some centers require a code disagree form be completed.  Coders are required to provide their supporting documentation to be presented to the center for approval. (Surg Centers call this a coding variance)
• Ensures the coding site specifics are updated as needed for each center assigned.
• Identifies and tracks all cases that are not able to be billed due to lacking information such as operative notes, path reports, supply information etc.  On a weekly/daily basis provide a documented request to the center requesting the information needed.
• Responsible for properly performing month end tasks within the established timeframe including running month end reports for each center assigned and tracking of cases that are not yet billed for the month.
• Cases will be reviewed as part of an in-house audit process to ensure quality and accuracy of claims.  Corrections may be needed after review.  Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED