Certified Medical Coder

Duties for Coder:

Job entails surgical CPT coding experience, which relates to anesthesia and/or office-based CPT billing. Duties are:

• Apply CPT and ICD-10 Codes to medical records
• Apply all coding conventions to CPT code (i.e., modifiers)
• Code and/or Quality Audit average of 200 charge records per day
• Design and implement QA checks with a reporting mechanism to easily ascertain progress for all clients.
• Look for coding related trends using all resources (denials, email, VIMS, etc.), track the trends, and develop
  solutions
• Report quality assurance error statistics to Coding Business Partner(s)
• Call surgeon’s office to clarify records when necessary
• Interact with company business partners
• Stay abreast of, research, and report Coding related changes across the industry.
• Lead projects as needed
• Identify system inefficiencies and correct or report to the appropriate forum
• Utilize reports as needed (Web, VIMS, vendor MBR and PIBS).
• Utilize software products (e.g., Word, Excel, etc.) that would be valuable to you in your role.
• Build edits as they present themselves.
• Use good judgment and escalate issues as necessary.
• Administrative tasks as they relate to coding.

Requirements for Coder:

• AAPC Certification required
• Comprehensive knowledge of anatomy, physiology, medical terminology and medical procedures
• ICD-10 and Surgical CPT Coding experience
• Detail-oriented
• Excellent written and verbal communication skills
• PC skills (Word, Excel, Outlook, Internet, etc.)
• Excellent people and team-building skills
• Ability to plan and multi-task
• Meet deadlines. If unable to meet deadlines, communicate in advance with a detailed explanation; have a workaround plan to propose.
• Teambuilding skills:
  • Partner with, and support Management, Supervisors and associates to promote a positive working environment.
  • Promote Periop business decisions as positive. Do not express negative opinions regarding any Periop business decision or business partner while in the presence of associates.
  • Communicate with our offshore business partner through email and conference calls.
  • Promote teamwork.
• People Skills:
  • Respect, recognize and be sensitive to different personality types and adjust your approach accordingly.
  • Practice soft-skills.
• Decision-Making skills:
  • Present issues with plausible, well thought out solutions.
  • Discuss disagreement or disappointment behind closed doors with appropriate members of management.
  • Before implementing any change in process, obtain appropriate approval from the Client Manager and/or team Supervisor (whichever is appropriate).
• Ownership:
  • Take ownership and accept responsibility of items assigned to you
  • Have prompt turn-around time
  • Remain flexible to change
  • Be receptive and positive regarding feedback and directives presented to you
• Innovation: Reengineer inefficient processes.