The Surgical Coder reviews, analyzes, and codes medical record documentation, including diagnostic and complex procedural information for general surgical specialties, using ICD-10, CPT, and/or HCPCS codes to the greatest specificity. The role abstracts demographic and coding information into the information system accurately and completely, reviews documentation for medical necessity, and audits orders and claims before submission to ensure completeness and accuracy and minimize claim denials. The coder assesses records and prepares reports, provides technical guidance to physicians and other departmental staff to identify and resolve issues or errors, and develops effective working relationships with physicians and other stakeholders. The primary coding responsibility is diagnostic, complex procedural, and surgery coding.
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Job Type
Full-time
Education Level
High school or GED