Certified Coder

General Summary

Abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 and/or CPT-4 codes to patient records according to established procedures. Works with coding databases and confirms DRG assignments.

Responsibilities

• Codes data from patient records utilizing coding systems to ensure optimal reimbursement of the office visits and hospital surgery for all surgeons and mid-levels of the practice. Translates diagnostic and procedural information using the International Classification of Diseases codes and sequences these codes in a manner which legitimately optimizes office and hospital reimbursement through the use of proper coding and modifiers.
• Skilled in accurate assignment and auditing of ICD-10-CM, CPT, HCPCS, and E/M services for inpatient, outpatient and office-based encounters.
• Abstracts data from patients’ medical records in order to compile accurate and timely statistical data.
• Reviews and analyzes all patient types to determine the principal diagnosis and procedure and other significant diagnoses and procedures.
• Logs into hospital portals to extract patient data when needed.
• Identifies and verifies medical and surgical complications and comorbidities as well as medical necessity. Works independently reviewing medical record documentation, laboratory reports, radiology reports, and consultation reports to identify medical conditions evaluated and treated during the visit.
• Corrects claims with incorrect codes to ensure compliance with required regulations and accreditation standards.
• Responds to surgeon inquiries that concern the proper documentation of diagnostic procedural information and questions regarding coding assignments.
• Clarifying ambiguous documentation or missing details directly with surgeons to ensure records are compliant and complete.
• Work hold buckets and ensure all coding needs are satisfied.
• Codes claims on a timely basis to ensure quick billing processing.
• All other duties as assigned, within the scope and range of job responsibilities.

Required Education, Credential(s) and Experience

Education: High School Diploma or greater

Certificate Program Medical Coding & Billing

• Credential(s): Certified Professional Coder, CPMA
• Certified Professional Medical Auditor, CGSC
• Certified General Surgery Coder

Experience: Required: at least 2 years experience in general surgery coding and medical records using ICD and CPT coding systems.

Orlando Minimally Invasive Surgery is a General and Bariatric Surgery private practice with offices in Orlando, Oviedo, Sanford and Orange City. We off er a competitive salary and comprehensive benefits package (for eligible positions) including:

Generous Paid Time Off and Paid Holidays

401(k)

Excellent Health, Dental, and Vision

Disability and Life Insurance options

Educational Reimbursement

Flex Spending Accounts

Plus, an array of Voluntary Benefits to include Critical Care Coverage and more!

Status: Full Time 40 Hours

Shift: Days

Location: In office

SALARY RANGE

24.00 - 30.00 HOURLY