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NorthBay Health · 2 months ago

Professional Surgical Coder II (Remote or Hybrid)

Fairfield, CA

Full-time

Hybrid

Senior Level

$41/hr - $49.84/hr

5+ years exp

NorthBay Health is an independent, nonprofit health system in Northern California, expanding its services to meet community needs. The Professional Surgical Coder II will play a critical role in translating medical procedures and diagnoses into coding systems, ensuring accuracy and compliance with coding guidelines.

Health CareHospitalMedical

Responsibilities

Accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes for professional surgery charges in the outpatient and inpatient settings

Effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements

Perform work using the approved classification Coding systems to include the modifiers

Carry out all work in accordance with the rules, regulations and coding conventions of the AAPC/AMA CPT Guidelines, AAPC/AMA, American Hospital Association (Coding Clinic), ICD 10-CM CMS, HCAI, and NorthBay Healthcare coding guidelines

Qualification

Certified Professional Coder (CPC)ICD 10 codingCPT codingHCPCS codingEHR/encoder systemSurgical coding experienceAnatomyPhysiology knowledgeMedical terminologyReimbursement methodologiesTechnical troubleshootingSelf-disciplineInterpersonal skillsTeamwork

Required

High School Graduate or equivalent preferred. College coursework a plus

Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Coding Specialist – Physician (CCS-P)

Five or more years of experience in professional fee coding required including surgical coding in both inpatient and outpatient settings

EMR Medical records experience is required

Comprehensive knowledge and application of profee surgical guidelines including appropriate coding of assistants and co-surgeons

Demonstrated knowledge of anatomy and physiology, medical terminology, disease process, reimbursement methodologies (DRGs, HCCs, APCs), and the conventions, rules and guidelines for current coding classification (ICD10-CM, CPT and HCPCS)

Demonstrated understanding of the clinical content of a health record

Knowledge of and experience with PC's, Cerner, and/or computer systems and programs highly desired

Microsoft Office: Email, Word, Excel

Has a comprehensive understanding of insurance requirements and compliance guidelines for Medicare, PHP, WHA and Medi-Cal, Worker's Compensation, Commercial Insurances

Ability and desire to hit metrics upon training (idle time is also monitored on this hourly paid position)

Technically savvy (ability to learn software and troubleshoot equipment as needed)

Ability and self-discipline to be able to work remotely

Ability to withstand the pressure of continual deadlines and receipt of work with variable requirements

The ability to work independently as well as in a team environment

Demonstrates the True North values