Profee Surgical Coding Specialist III - REMOTE

Children's Hospital and Health SystemSummit, NJ
Remote

About The Position

The Profee Surgical Coding Specialist III (Pediatric Urology and ENT) will work in collaboration with Ancillary or specialty departments/locations/providers to code, review and release charges in a timely manner and to ensure correct coding, billing compliance and complete charge capture. Collaborates with providers and other departmental staff/leaders on coding or charge capture related questions/topics.

Requirements

  • 3 years of experience of Profee coding in a healthcare position required
  • Knowledge of ICD10, CPT and HCPCS coding guidelines.
  • Working knowledge of CCI edits, healthcare insurance guidelines and other regulatory guidance.
  • Prior use of an Electronic Health Record.
  • Excellent communication (oral and written) skills.
  • Ability to work independently, exercise independent judgment and solve problems effectively.
  • High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED) required

Nice To Haves

  • Specialty surgical coding knowledge in Pediatric Urology and Pediatric ENT preferred
  • Epic experience preferred

Responsibilities

  • Assigns or verifies CPT, ICD-10 CM coding and modifiers based upon documentation.
  • Subject matter expert in one or more specialties and may also cover multiple surgical/medical specialties for abstraction, ambulatory and/or surgical/procedural coding.
  • Ensures compliance with official coding guidelines.
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