Certified Hospital Surgery Coder

Position: Certified Hospital Based Surgery Coder
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Position Summary
• Reviews provider documentation and revises and/or assigns ICD-10-CM codesand CPT/HCPCS codes as appropriate, based on official coding guidelines.

Researches and takes appropriate action on any coding/claim edits.
• Coding focus is complex outpatient hospital based (Observation, Emergency Department, Wound, Ambulatory Surgery) or provider based complex procedural services (surgery, procedures, wound).Principal Accountabilities
• Standards of Performance:
Respect, Integrity, Compassion, Collaboration,Stewardship, Accountability, Quality Education
• High School Diploma required. Preferred Associate or Bachelor Degree in Health Information or a healthcare related discipline.

Licenses and Certification
•

Required:

o RHIA, RHIT, or CCS (hospital) o RHIA, RHIT, CCS, CCS-P, CCA, or CPC (provider based)
Experience and Skills
• Hospital & Provider Based:o RHIA, RHIT, CCS – None.
• Provider Based:o CCS-P, CCA, or CPC – 3 years procedural coding required.

Physical Activities
• Intermittent hand manipulation required
• Intermittent lifting and carrying of 20 pounds

Role Specific Responsibilitieso Follows all coding policies, procedures, standard operating procedure so Effectively uses encoding software and reference materials to assign appropriate codes.o Provider driven coding:
Reviews and accepts or revises code selection based upon documentation and coding guidelines.o Non – provider driven coding:
Reviews provider documentation and assigns appropriate codes based upon coding guideline so Reviews coding edits and accurately resolves so encounter can be sent toclaims.o Sends clear, respectful communications to provider inbasket or queries when additional information is needed before finalizing coding.o Identifies and communicates to Coding Lead/Supervisor/Manager anyissues related to documentation, coding or systems that may impact quality, compliance, or productivityo Performs work que duties as assigned by Coding Lead/Supervisor/Manager.o

Maintains coding quality and productivity standard so Actively engages and makes meaningful contribution when participating in performance improvement initiatives, department meetings and other meetings as required.o Maintains required CEU’sCompensation (Commensurate with experience):$24.12 - $37.39

To access our Benefits Guide/Plan Information, please click the link below:
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