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South Shore Health · 2 weeks ago

Professional Surgical Coder

Weymouth, MA

Full-time

Onsite

Entry, Mid Level

$33.33/hr - $44.86/hr

2+ years exp

South Shore Health is seeking a Professional Surgical Coder who will be responsible for the accurate and timely assignment of codes to diagnoses and procedures for both outpatient and inpatient coding. This role involves analyzing medical records, assigning appropriate codes, and ensuring documentation accuracy while collaborating with medical providers.

Health CareHome Health CareHospitalNon Profit

H1B Sponsor Likely

Responsibilities

Analyzes patient medical records and interprets documentation to identify all diagnoses and procedures performed

Assigns proper ICD-10CM and CPT-4 diagnostic and procedural codes to charts and related records by reference to designated coding manuals and other reference material

Codes 6-9 (# determined according to type of record coded) records per hour, consistently with 95% accuracy

Assigns diagnostic and procedural codes for physicians in the inpatient, outpatient, and observation setting

Identifies any and/or all complications or comorbidities

Applies sequencing guidelines based on medical record information provided according to official coding rules

Assesses the appropriateness of medical record documentation to ensure that it supports the procedure(s), diagnosis', as well as complications and/or comorbid conditions documented

Consults with the appropriate provider to clarify medical record information

Identifies any documentation inadequacies with provider and clarifies medical record information with courtesy and tact

Retrieves any and all records corresponding to surgical cases including laboratory/path reports to ensure accurate assignment of ICD-10-CM and CPT-4 codes

Ensures accurate, correctly coded information is entered into Epic

Answers provider/clinician questions regarding coding principles

Assists with coding queries for claims appeals and resolution

Refer ancillary department coding questions to Professional Coding Manager

Remains abreast of developments in medical record technology by pursuing a program of professional growth and development, attending educational programs and meetings, reviewing pertinent literature and so forth

Utilizes professional affiliations, etc., in order to maintain current in professional developments

Attends all pertinent coding seminars and manager assigned training

Utilize all available hospital-provided electronic resources

Works collaboratively with appropriate team members to recommend strategies for process improvement

Assists in responses to billing review requests

Abides by Standards of Ethical Coding as set forth by American Health Information Management Association (AHIMA)

Meets coding, quality and productivity standards

Performs all job functions in compliance with applicable federal, state and local laws as well as hospital policy and procedures

Qualification

ICD-10-CM codingCPT-4 codingCPC certificationCCS-P certificationMedical terminologyData entry skillsAnalytical skillsProcess improvementEthical codingCollaboration

Required

CPC - Certified Professional Coder OR CCS-P Certified Coding Specialist- Physician Based

Strong proficient computer and data entry skills to gather and interpret data

Strong analytical skills to gather and interpret data

Certified Coding Specialist - Physician Based - American Health Information Management Association (AHIMA), Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC)

Preferred

Equivalent to an Associate's Degree in Medical Information Technology (with course work in medical terminology, anatomy, physiology, disease processes, ICD-10-CM coding required and prospective payment preferred)

Two to three (2-3) years in a surgical practice preferred

Company

South Shore Health

South Shore Health System is a not-for-profit charitable health system offering primary & specialty care, hospital care & community care.

Founded in 1922

Boston, Massachusetts, USA

5001-10000 employees

https://www.southshorehealth.org/

H1B Sponsorship

South Shore Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

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2020 (1)