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.
• Expertise in query guidelines, and coding standards. 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.
• Maintains the confidentiality of patient records.
• Meets and exceeds departmental quality (95% or more) and productivity standards (100%).
• 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 e.g., coding assistants, coders, leads, supervisors, and managers.

• 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 (CT), 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.
• Must be able to sit for extended periods of time.
• Must be able to continuously concentrate.
• Position may be required to travel to other sites
• therefore, may be exposed to road and weather hazards.

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
• Incentive pay for select positions.