Facility Coder III - Surgical Specialties

• Assist with special projects as requested
• Assists with training other coders as requested
• Monitors and responds to accounts in the charge router, charge router messages, CRMs, Compliance and Integrity review requests
• Adhere to organizational and internal department policies and procedures to ensure efficient work processes
• Reviews complex medical documentation to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS
• Serves as subject matter expert in your assigned specialty and actively participate in the Coding meetings as a problem solver
• Follow up and obtain clarification of inaccurate documentation as appropriate
• Maintain continuing education by attending webinars, reviewing updated CPT assistant guidelines and updated coding clinics
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines
• Maintains the confidentiality of patient records
• Reports any perceived non-compliant practices to the coding leader or compliance officer
• Meets and exceeds departmental quality (95% or more) and productivity standards (100%)
• Achieves productivity expectations to support discharged not final billed (DNFB)
• Assist in the production of annual edit review based on CPT, ICD and HCPCS changes as well as assist in development of edits based on publications and society updates
• Answer and prioritize correspondence at all levels

• Coding Certification issued by American Academy of Coders (AAPC) or American Health Information Management Association (AHIMA)
• Typically requires 5 years of experience in professional coding that includes experiences in professional revenue cycle processes and health information workflows
• Advanced training beyond High School in Medical Coding or related field (or equivalent knowledge)
• Proficient in Microsoft Office, Word, Excel, and PowerPoint
• Advanced knowledge and understanding of anatomy, physiology, medical terminology, pathophysiology (disease process, surgical terminology and pharmacology)
• Demonstrates knowledge of National Council on Compensation Insurance, Inc (NCCI) edits, and local and national coverage decisions
• Expert knowledge and experience in ICD-10-CM, CPT, and 3M Encoder
• Expert knowledge and experience in ICD-10-CM and CPT coding systems, G-codes, HCPCS codes, Current Procedural Terminology (CPT), modifiers, and Ambulatory Payment Classifications (APC)
• Advanced knowledge of pharmacology indications for drug usage and related adverse reactions
• Expert knowledge of coding workflow and optimization of technology including how to navigate in the electronic health information record and in health information management and billing systems
• Excellent communication and reading comprehension skills
• Demonstrated analytical aptitude, with a high attention to detail and accuracy
• Experienced with remote workforce operations required
• Strong sense of ethics

Hospital-Based / Facility Surgical Specialties Coding Experience, GI preferred

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program
• Opportunity for annual increases based on performance
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions