Profee Coder Surgical Oncology

Job Summary

Evaluates medical records, provides clinical and surgical abstraction and assigns appropriate clinical diagnosis and procedure codes in accordance with nationally recognized coding guidelines.

• Analyzes medical information from medical records and accurately codes diagnostic and procedural information in accordance with national coding guidelines and reimbursement requirements. Consults with medical providers to clarify missing or inadequate record information and determine appropriate diagnostic and procedure codes. Provides thorough, timely and accurate coding in accordance with department-specific productivity and quality standards. Codes ICD‑CM and CPT‑4 for accurate APC assignment.
  
  Addresses National Correct Coding Initiative (NCCI) edits as appropriate and reconciles charges as required.
• Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from the medical record into the electronic medical records. Seeks out missing information and creates complete records, including items such as disease and procedure codes, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists, and appropriate signatures/authorizations. Refers inconsistent patient treatment information/documentation to coding quality analyzers, supervisors or the individual department for clarification or additional information for accurate code assignment.
• Provides quality assurance for medical records. For all assigned records and/or areas assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Centers for Medicare & Medicaid Services (CMS), Office of the Inspector General (OIG) and the Health Care Financing Administration (HCFA), as well as company and applicable professional standards.
• As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes.
• Works independently under regular supervision. Uses specialized knowledge for accurate assignment of ICD/CPT codes according to national guidelines. May seek guidance for correct interpretation of coding guidelines and LCDs (Local Coverage Determinations).

This is a fully remote position available only to candidates residing in the following states: AK, AR, AZ, CA, CO, FL, GA, IA, , IN, KS, KY, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI & WY. Hours are flexible, with the ability to work an 8-hour shift between 5 am and 7 pm (Monday‑Friday).

• Minimum 1 year recent experience in E/M Surgical Oncology coding (clearly reflected in your attached resume).
• Must be currently certified through AAPC or AHIMA, as defined in minimum qualifications below (please upload a copy or provide certification number). Please note, this is a Surgical Oncology role, requiring more than a CPC‑A level certification.
• Don’t quite meet the above requirements? Check out some of our other Coder positions!

High school diploma/GED or equivalent working knowledge and specialized formal training equivalent to the two‑year certification course in medical record keeping principles and practices, anatomy, physiology, pathology, medical terminology, standard nomenclature, and classification of diagnoses and operations, or an Associate’s degree in a related health care field.

Requires at least one of the following certifications in active status with either AHIMA or AAPC:
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist – Physician (CCS‑P), Certified Coding Associate (CCA), Certified Professional Coder – Apprentice (CPC‑A), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT). Certification may also include a general area of specialty.

Six months providing professional coding services or other related healthcare experience within a broad range of health care facilities.

Must demonstrate a level of knowledge and understanding of ICD and CPT coding principles as recommended by the American Health Information…