Trinity Health MI · 13 hours ago
Professional Surgical Coder
Trinity Health MI is a healthcare organization seeking a Professional Surgical Coder. The role involves reviewing charge review errors and claim edits for surgical procedures, ensuring accurate coding and charge capture, and serving as a liaison between coding operations and clinical departments.
Hospital & Health Care
Responsibilities
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
Obtains and maintains relevant education to perform essential functions; keeps coding credentials (CPT, CCS) current at all times
Serves as a resource for providers, managers, peers
Performs other related duties as assigned
Qualification
Required
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 credentialing
One – three (1-3) years of professional coding experience, with multiple surgical specialties preferred
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
Preferred
prior experience in coding for neurosurgery, thoracic surgery, and / or gynecologic oncology procedures