Coder

For over 29 years Surgical Information Systems (SIS) has empowered surgical providers to Operate Smart by delivering innovative software and services that drive clinical financial and operational success. For ambulatory surgery centers (ASCs) SIS provides comprehensive software and services including ASC management electronic health records (EHRs) patient engagement capabilities compliance technology and revenue cycle management and transcription services all built specifically for ASCs. For hospital perioperative teams SIS offers an easy-to-use anesthesia information management system (AIMS).

Serving over 2700surgical facilities SIS is committed to delivering solutions that enable surgical providers to focus on what matters most: delivering exceptional patient care and outcomes.

Recognized as the No. 1 ASC EHR vendor by Black Book for 10 consecutive years and honored with the Best in KLAS Award for ASC Solutions inand2022 SIS remains the trusted choice for surgical providers seeking to enhance their performance.
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SUMMARY:The Medical Coder will play a key role in reviewing and analyzing medical billing and coding for processing. The Medical Coder will review and accurately code ambulatory surgical procedures for reimbursement.

ESSENTIAL DUTIES/ RESPONSIBILITIES:

• Obtain operative reports
• Obtain implant invoices implant logs and pathology reports as applicable
• Supports the importance ofaccuratecompleteand consistent coding practicesfor the production ofquality healthcare data.
• Adheres to the ICD-9/ICD-10 coding conventions official coding guidelines approved by CPT AMA AAOS and CCI.
• Usesskills and knowledge of the currently mandated coding and classification systems and official resources to select theappropriate diagnosticand procedural codes.
• Assigns andreportsthe codes that are clearly supported by documentation in the health record.
• Consults physicians for clarification andadditionaldocumentation prior to code assignment when there is conflicting or ambiguous data in the health record.
• Strives for theoptimalpayment 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.â Coders need to be aware of changes in codes guidelines and regulations.â Theyare required tomaintain90% or above coding accuracy average.
• Codesa minimum of 50 caseson a daily basis.
• Assuresaccurateoperative reports by checking spelling noting omissions anderrorsand returning to transcription for correction.
• Codesall third party carriers and self- paycases equitably for patient services and supplies provided.
• Adheres to OIG guidelines which include:
• Diagnosiscoding must beaccurateand 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 unbundlingup-coding or downcoding.
• Coders may be involved indenialsof claims for coding issues.
• Some centersrequirea code disagree formbecompleted.â Codersare required toprovide their supporting documentation to be presented to the center for approval. (Surg Centers call this a coding variance)
• Ensuresthe coding site specifics are updated as needed for each center assigned.
• Identifiesand tracks all cases thatare not able tobe billed due to lacking information such as operative notes path reports supply information etc.â Ona weekly/daily basis provide a documented request to the center requesting the information needed.
• Responsible for properly performing month end tasks within the establishedtimeframeincluding running month end reports for each center assigned andtracking ofcases 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.â Corrections may be needed afterreview.â
• Nothing in this job description restricts managements right to assign or reassign duties and responsibilities to this job at any time

EDUCATION DESIRED:

• High school graduate or GED certification

SPECIFIC KNOWLEDGE & SKILLS REQUIRED:

• Required certification in one of thefollowing :CPC RHIA RHIT
• Successful completion of formal education in basic ICD-9-CM/ICD-10/CPT coding medical terminology anatomy/physiologyand diseaseprocess..â
• 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 andgeneral public
• Ability to solve problems associated with assigned task
• Minimum of 2 years outpatient surgery coding experience with facility coding (OPPS ASC) recommended.

We believe employees are our greatest asset and we empower them to make a difference in our business. Diversity and inclusion makes us all better. Qualified applicants will receive consideration for employment without regard to race color religion sex national origin sexual orientation gender identity age disability protected veteran status and all other protected statuses

Surgical Information Systems is an Equal Opportunity Employer and complies with applicable employment laws. M/F/D/V/SO are encouraged to apply.

At this time we are unable to sponsor H1B candidates

Required Experience:

IC