Medasource ยท 10 hours ago
Pro-Fee Coder- Urology/HPB
Medasource is seeking a Urology Pro Fee Coder who will review clinical documentation to assign and sequence diagnostic and procedural codes specific to Urology services. The role involves ensuring accurate billing and reimbursement for professional encounters while maintaining compliance with regulatory requirements.
Responsibilities
Select and sequence ICD-10 and CPT/HCPCS codes for Urology patient encounters including, but not limited to, office visits, minor and major procedures, and surgical interventions (e.g., cystoscopy, prostate biopsy, lithotripsy, TURP, vasectomy)
Review and analyze Urology clinical documentation to ensure that CPT and Evaluation & Management (E/M) codes accurately reflect the services rendered and diagnoses documented
Abstract clinical data from the record to ensure that documentation supports the selected diagnoses, procedures, and discharge disposition
Validate coding accuracy for urologic-specific modifiers, global surgical packages, and bilateral procedures
Collaborate with providers and client staff for data integrity, clarification, and compliant coding practices, including provider queries as needed
Maintain strict patient and provider confidentiality in compliance with all HIPAA Guidelines
Participate in client and Savista staff meetings, trainings, and conference calls as requested and/or required
Maintain current working knowledge of ICD-10-CM, CPT, and HCPCS code sets, coding guidelines, and payer-specific billing requirements related to Urology
Participate in continuing education activities to enhance Urology coding knowledge, maintain credentials, and stay updated on coding and reimbursement changes
Qualification
Required
Candidates must successfully pass a pre-employment skills assessment
An active AHIMA credential (RHIA, RHIT, CCS, or CCA) or AAPC credential (CPC, COC, CCS-P, or related specialty certification)
Minimum of 2 years of recent hands-on Pro Fee coding experience, with at least 1 year in Urology coding
Knowledge of Urology terminology, anatomy of the urinary and reproductive systems, and common Urology procedures
Ability to consistently code at 95% quality while maintaining client-specific productivity standards
Strong understanding of coding E/M visits, diagnostic tests (uroflowmetry, urodynamics), and surgical procedures (TURBT, stent placement, prostatectomy, etc.)
Proficient computer knowledge including MS Office (Outlook, Word, Excel)
Excellent interpersonal and problem-solving skills with all levels of internal and external customers
Preferred
Recent experience coding in a high-volume Urology practice or hospital-based Urology department
Associate degree in HIM or related healthcare field, or equivalent combination of education and experience
Experience using RCX, Cerner, or NextGen (a plus)