Surgical Information Systems · 16 hours ago
Coder
United States
Full-time
Remote
Entry, Mid Level
2+ years expSurgical Information Systems (SIS) has been empowering surgical providers for over 29 years by delivering innovative software and services. The Medical Coder will review and analyze medical billing and coding for ambulatory surgical procedures, ensuring accurate coding practices for reimbursement.
HealthcareSoftwareHospitalHealth Care
No H1B
Responsibilities
Obtain operative reports
Obtain implant invoices, implant logs, and pathology reports as applicable
Supports the importance of accurate, complete and consistent coding practices for the production of quality healthcare data
Adheres to the ICD-9/ICD-10 coding conventions, official coding guidelines approved by CPT, AMA, AAOS, and CCI
Uses skills and knowledge of the currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes
Assigns and reports the codes that are clearly supported by documentation in the health record
Consults physicians for clarification and additional documentation prior to code assignment when there is conflicting or ambiguous data in the health record
Strives for the optimal payment to which the facility is legally entitled
Assists and educates physicians and other clinicians by advocating proper documentation practices
Maintains and continually enhances coding skills. Coders need to be aware of changes in codes, guidelines, and regulations. They are required to maintain 90% or above coding accuracy average
Codes a minimum of 50 cases on a daily basis
Assures accurate operative reports by checking spelling, noting omissions and errors and returning to transcription for correction
Codes all third party carriers and self-pay cases equitably for patient services and supplies provided
Adheres to OIG guidelines which include:
Diagnosis coding must be accurate and carried to the highest level of specificity
Claim forms will not be altered to obtain a higher amount
All coding will reflect accurately the services provided and cases reviewed for the possibility of 'unbundling', 'up-coding' or downcoding.'
Coders may be involved in denials of claims for coding issues
Some centers require a code disagree form be completed. Coders are required to provide their supporting documentation to be presented to the center for approval. (Surg Centers call this a coding variance)
Ensures the coding site specifics are updated as needed for each center assigned
Identifies and tracks all cases that are not able to be billed due to lacking information such as operative notes, path reports, supply information etc. On a weekly/daily basis provide a documented request to the center requesting the information needed
Responsible for properly performing month end tasks within the established timeframe including running month end reports for each center assigned and tracking of cases that are not yet billed for the month
Cases will be reviewed as part of an in-house audit process to ensure quality and accuracy of claims. Corrections may be needed after review
Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time
Qualification
Required
High school graduate or GED certification
Required certification in one of the following: CPC, RHIA, RHIT
Successful completion of formal education in basic ICD-9-CM/ICD-10/CPT coding, medical terminology, anatomy/physiology and disease process
Knowledge of computers and Windows-driven software
Excellent command of written and spoken English
Cooperative work attitude toward and with co-employees, management, patients, outside contacts
Ability to promote favorable company image with patients, insurance companies, and general public
Ability to solve problems associated with assigned task
Minimum of 2 years outpatient surgery coding experience with facility coding (OPPS, ASC) recommended
Company
Surgical Information Systems
Surgical Information Systems has been dedicated to providing surgical care providers with the solutions and services.
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
unknown2020-10-15Acquired
2020-01-01Series Unknown
2010-12-01Private Equity
Leadership Team
Tom Stampiglia
Chief Executive Officer
John Walker
SVP, Hospital Sales and Operations
Recent News
2025-07-30
Company data provided by crunchbase