Professional Surgical Coder II (Onsite, Hybrid, Remote)

NorthBay Healthcare Corporation•Fairfield, CA

8d•Hybrid

About The Position

At NorthBay, the Professional Surgical Coder will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner for professional surgery charges in the outpatient and inpatient settings. The coder is dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system. Can effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements. Work is performed using the approved classification Coding systems to include the modifiers. All work carried out in accordance with the rules, regulations and coding conventions of the AAPC/AMA CPT Guidelines, AAPC/AMA. American Hospital Association (Coding Clinic), ICD 10-CM CMS, HCAI, and NorthBay Healthcare coding guidelines.

Requirements

High School Graduate or equivalent preferred.
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Coding Specialist – Physician (CCS-P).
Five or more years of experience in professional fee coding required, including surgical coding in both inpatient and outpatient settings.
EMR Medical records experience is required.
Comprehensive knowledge and application of profee surgical guidelines, including appropriate coding of assistants and co-surgeons.
Demonstrated knowledge of anatomy and physiology, medical terminology, disease process, reimbursement methodologies (DRGs, HCCs, APCs), and the conventions, rules and guidelines for current coding classification (ICD10-CM, CPT and HCPCS).
Demonstrated understanding of the clinical content of a health record.
Knowledge of and experience with PCs, Cerner, and/or computer systems and programs highly desired.
Microsoft Office: Email, Word, Excel.
Comprehensive understanding of insurance requirements and compliance guidelines for Medicare, PHP, WHA and Medi-Cal, Worker’s Compensation, Commercial Insurances.
Ability to hit metrics upon training.
Technically savvy (ability to learn software and troubleshoot equipment as needed).
Ability and self-discipline to be able to work remotely.
Ability to withstand the pressure of continual deadlines and receipt of work with variable requirements.
Ability to work independently as well as in a team environment.
Must have a private, distraction-free area in your home for work (HIPAA reasons).
Must have high speed internet (over 125 mbps download speed or be willing to upgrade upon an offer).

Nice To Haves

College coursework a plus.
Some leadership experience preferred, but not required.
Experience with an encoder system preferred.

Responsibilities

Accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes.
Ensuring accuracy and timeliness in coding for professional surgery charges in outpatient and inpatient settings.
Utilizing an EHR/encoder system.
Communicating with providers via email, query, phone call or in person to educate or discuss coding requirements.
Performing work using approved classification coding systems, including modifiers.
Adhering to coding guidelines from AAPC/AMA CPT Guidelines, AAPC/AMA, American Hospital Association (Coding Clinic), ICD 10-CM CMS, HCAI, and NorthBay Healthcare.