Professional Surgical Coder II

At North Bay, 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 North Bay Healthcare coding guidelines.

High School Graduate or equivalent preferred. College coursework a plus

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.
• Some leadership experience preferred, but not required.
• EMR Medical records experience is required. Experience with an encoder system preferred.
• 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 (ICD
  10-CM, CPT and HCPCS).
• Demonstrated understanding of the clinical content of a health record.
• Knowledge of and experience with PC’s, Cerner, and/or computer systems and programs highly desired.
• Microsoft Office:
  Email, Word, Excel.
• Has a comprehensive understanding of insurance requirements and compliance guidelines for Medicare, PHP, WHA and Medi-Cal, Worker’s Compensation, Commercial Insurances.

• Ability and desire to hit metrics upon training (idle time is also monitored on this hourly paid position)
• 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. The ability to work independently as well as in a team environment.

Demonstrates the True North values. The True North values are a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at North Bay Health. The True North values principles consist of Nurture/Care, Own It, Respect Relationships, Build Trust and Hardwire Excellence.

Full Time Days Monday  through Friday as assigned. Timing may also be at discretion of leadership based on business need.

• Must have a private, distraction-free area in your home for work (HIPAA reasons)
• Web-cam training will be used frequently for team engagement.
• Internet Requirements:
  
  Must have high speed internet. Please test your internet prior to applying to make sure you are over 125 mbps download speed or be willing to upgrade upon an offer.

$41to $49.84 based on years of experience doing the duties of the role.

At North Bay Health, we are guided by our values:
Nurturing Care;
Own It;
Respect;
Build Trust; and Hardwire Excellence. These principles lead us to our TRUE NORTH and inspire us to provide exceptional care.

These values serve as the foundation of everything we do, guiding us to deliver individualized care with integrity and accountability. We are committed to fostering a culture of collaboration, where every team member is valued and empowered to contribute their best to the health and well-being of those we serve.

This is an exciting time to join North Bay Health.

As an independent, nonprofit health system north of the San Francisco Bay…