Professional Surgical Coder

Trinity Health

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profile Job Location:

Grand Rapids, MI - USA

profile Monthly Salary: Not Disclosed
Posted on: 6 hours ago
Vacancies: 1 Vacancy

Job Summary

Employment Type:

Full time

Shift:

Day Shift

Description:

Reviews all assigned charge review errors and claim edits for hospital-based services including surgical procedures. Ensures correct charge capture and coding with proper CPT HCPCS and ICD-10 codes as well as proper modifiers adhering to local ministry and Trinity practices and policies. May require analyzing medical documentation to verify principle and secondary diagnoses and procedures; assigning diagnostic codes selecting the surgical/procedural codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS); performing charge entry; and performing discrepancy resolution. Serves as a liaison between Centralized Coding/Revenue Site Operations and physicians/ clinical sites/departments. Assists in orienting and training new employees in the coding and charge capture area as well as cross-training established coders in new specialties.

Hours Schedule:

  • Remote position

  • Day shift hours

Highlights and Benefits:

  • Competitive compensation DAILYPAY

  • Benefits effective Day One! No waiting periods.

  • Full benefits package including Medical Dental Vision PTO Life Insurance Short and Long-term Disability

  • Retirement savings plan with employer match and contributions

  • Colleague Referral Program to earn cash and prizes

  • Unlimited career growth opportunities with one of the largest Catholic healthcare organizations in the country

  • Tuition Reimbursement

Position Summary:

Responsible for charge capture process for professional charges within the SMHC system including but not limited to: verifying and/or analyzing medical record documentation to determine the principle and all secondary diagnoses and procedures; and assigning diagnostic and procedural codes using coding guidelines established by the Center for Medicare and Medicaid Services (CMS) and SMHC. Assists in the orientation and training of new employees within the coding and charge capture area.

Minimum qualifications:

  • Minimum - Associates Degree in allied health related field including classes in medical terminology anatomy and physiology; or two years of increasingly responsible medical records experience with exposure to medical terminology anatomy physiology and coding; or an equivalent combination of education and experience.

  • Minimum Certified Coding Specialist or Certified Professional Coder credential.

  • One three (1-3) years of professional coding experience with multiple surgical specialties preferred

  • Preferred - prior experience in coding for neurosurgery thoracic surgery and / or gynecologic oncology procedures

  • Effective verbal written and interpersonal communication skills with the ability to comfortably interact with diverse populations.

  • Solid understanding of ICD-9 and CPT coding and medical terminology with knowledge of Medicare Medicaid Health Maintenance Organization and commercial insurance plans.

  • Ability to maintain accurate records and to prioritize and organize work effectively.

  • Ability to exercise independent judgment as appropriate within standard practices and procedures.

What the Professional Surgical Coder will do:

  • Performs coding and charge entry of surgical services dropped in Epic with a generic placeholder or PBSUR.

  • Detailed in code selections. Maintains accuracy of 95% or greater.

  • Performs accurate resolve of assigned hospital-based and surgical charge review errors and claim edits in Epic keeping WQ aging < 2 days.

  • Reviews documentation in Epic or other sources to appropriately determine ICD-10 CPT HCPCS and modifier assignment.

  • Researches all information needed to complete coding process.

  • Follows daily weekly & monthly productivity requirements.

  • Resolves coding discrepancies related to coding and revenue capture.

  • Participates in the liaison process between the Centralized Coding Providers Managers and Leadership.

  • Maintains coding credentials (CPC CCS) current at all times.

  • Serves as a resource for providers managers peers.

  • Performs other related duties as assigned.

Our Commitment

Rooted in our Mission and Core Values we honor the dignity of every person and recognize the unique perspectives experiences and talents each colleague brings. By finding common ground and embracing our differences we grow stronger together and deliver more compassionate person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability veteran status or any other status protected by federal state or local law.


Required Experience:

Unclear Seniority

Employment Type:Full timeShift:Day ShiftDescription:Reviews all assigned charge review errors and claim edits for hospital-based services including surgical procedures. Ensures correct charge capture and coding with proper CPT HCPCS and ICD-10 codes as well as proper modifiers adhering to local min...
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About Company

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Trinity Health is one of the largest not-for-profit, Catholic health care systems in the nation. It is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians caring for diverse communities across 25 states. Nationally recognized for care and experience, the Trinity ... View more

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