
Surgical Coding Professional
5 days ago
The ideal candidate will bring deep knowledge of outpatient and same-day surgical procedures, coding compliance, and revenue cycle optimization.
- Assign accurate ICD-10-CM, CPT, and HCPCS codes for Same Day Surgery cases, as well as related outpatient services (Observation, Emergency Department, Ancillary).
- Review operative and clinical documentation for coding accuracy and compliance with payer, CMS, and facility guidelines.
- Conduct quality reviews and audits to validate code selection, modifiers, and sequencing.
- Identify documentation insufficiencies and communicate with providers or leadership to resolve discrepancies.
- Provide feedback and support to improve coding accuracy across the team, including mentoring or training when needed.
- Maintain productivity and quality standards while safeguarding patient confidentiality and regulatory compliance.
- Collaborate with revenue cycle and compliance teams to support claim resolution and reimbursement optimization.
- Certification(s): CPC, COC, CCS, COSC, or other AAPC/AHIMA-recognized certifications.
- Experience: Minimum 5+ years of coding experience, with strong emphasis in Same Day Surgery coding.
- Demonstrated expertise in multiple surgical specialties (e.g., Orthopedics, General Surgery, Gastroenterology, Urology, Pain Management, ENT, Plastic Surgery).
- Proven track record in coding audits, education, or leadership roles is a plus.
- Technical Skills: Proficiency in Epic.
- Strong understanding of medical terminology, anatomy, physiology, and surgical procedures.
- Soft Skills: Excellent analytical, problem-solving, and communication abilities.
- Ability to work independently or in a team setting, with high attention to detail.
- Strong time-management skills, with capacity to meet deadlines in a fast-paced environment.
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