Surgical Coder

Job description

Description Summary: This position is primarily responsible for overseeing that all procedures are coded correctly and documented in the surgeon’s notes according to AMA, ICD-10, and NCCI coding guidelines while maximizing payment. The Coder is responsible for gathering, verifying and entering into our PM system (EPIC) all scheduled surgical procedures and all outside encounters performed at associated facilities. Responsibilities also include correcting billing information according to insurance guidelines, including all insurance, Medicare, Workers Comp, MVA and Third party carriers. The Coder will communicate with provider coding discrepancies and provide accurate answers and documentation to the physicians when responding or addressing their coding questions or issues. Responsibilities: - Reviews all procedure and diagnosis codes submitted by provider for accuracy and maximum reimbursement against the documentation and according to AMA, ICD-10, NCCI and AAOS coding guidelines. Should a provider not submit the suggested CPT and/or ICD-10 codes, the Coder is responsible for determining code selection according to AMA, ICD-10, NCCI and AAOS coding guidelines. - Coder needs to util...