Certified Hospital Surgery Coder

Overview

Review provider documentation and assign ICD-10-CM, CPT/HCPCS codes as appropriate based on official coding guidelines. Research and take action on any coding/claim edits. Focus on complex outpatient hospital based (Observation, Emergency Department, Wound, Ambulatory Surgery) and provider based complex procedural services (surgery, procedures, wound).

• Follow all coding policies, procedures and standard operating procedures.
• Use encoding software and reference materials to assign appropriate codes.
• Provide provider-driven coding: review and accept or revise code selection based on documentation and guidelines.
• Provide non–provider driven coding: review documentation and assign codes based on guidelines.
• Review coding edits and resolve them accurately so encounters can be sent to claims.
• Send clear, respectful communications to providers in inbox or queries when additional information is needed.
• Identify and communicate to Coding Lead/Supervisor/Manager any issues related to documentation, coding or systems that may impact quality, compliance, or productivity.
• Perform work queue duties as assigned by Coding Lead/Supervisor/Manager.
• Maintain coding quality and productivity standards.
• Actively engage and contribute in performance improvement initiatives, department meetings and other meetings as required.

• High School Diploma required.
• Associate or Bachelor Degree in Health Information or a healthcare related discipline preferred.
• Experience:
  
  3 years procedural coding required for CCS-P, CCA, or CPC providers. None required for RHIA, RHIT, CCS.

• Required:
  
  RHIA, RHIT, or CCS (hospital) for hospital-based coding.
• Required:
  
  RHIA, RHIT, CCS, CCS-P, CCA, or CPC (provider based) for provider-based coding.

• Intermittent hand manipulation.
• Intermittent lifting and carrying of 20 pounds.

Commensurate with experience: $24.6 to $38.13.
Benefits guide available at

SIH is an Equal Opportunity Employer including individuals with disabilities and protected veterans.