Surgical Coder Job in Phoenix, Arizona

The Certified Coder II is responsible for reviewing codes submitted by physicians/providers to assure accurate assignment of ICD-9-CM, ICD 10 and CPT codes for inpatient/outpatient professional charges submitted via encounters, superbills and/or reports.  Review encounters, superbills, reports and medical records to assign appropriate billing and diagnosis codes for provider services. 

• Abstract documents to determine appropriate level of E/M service or CPT procedure as appropriate.
• Track inappropriate or incorrect codes chosen by providers to report services and follow all company and compliance policies with regards to incorrect codes or patterns of incorrect coding.
• Reviewing physicians’ notes and charts for accuracy
• Obtaining any necessary clarification of information on the notes and charts
• Ensuring that all medical records have been signed by the appropriate parties
• Assigning appropriate medical codes to all diagnoses or services
• Identify and optimize revenue opportunities
• Enter and organize codes into management software
• Train new coding staff.
• Assist Manager with workflow management.
• Review charge correction requests.
• Perform related duties as assigned by Coding Manager.
• Maintain compliance with Federal, State and payer regulations.
• Maintain compliance with all company policies and procedures

Requirements:
Experience:

• 3+ years of surgical coding experience required.
• One year experience in medical billing preferred
• Prior experience with IDX, EPIC and EncoderPro preferred.

Education:

• High school diploma or equivalent
• Certified Coding Specialist (CCS), or Certified Professional Coder (CPC) required.

Knowledge/Skills/Abilities:

• Extensive knowledge in ICD-10 and CPT coding.
• Working knowledge of anatomy, medical and procedural terminology.
• Strong knowledge of medical billing practices.
• Strong problem solving skills.
• Computer proficiency (MS Office – Word, Excel and Outlook)
• Understanding/compliance of HIPAA laws and regulations.
• Able to differentiate between primary and secondary insurance payers
• Excellent verbal and written communication skills.
• Excellent customer service
• Ability to read, understand and follow oral and written instructions.
• Must be well organized and detail-oriented.
• Must be able to work under pressure and meet deadlines, while maintaining a positive attitude.
• Must be able to work extended hours.
• Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices.
• Able to work in a team environment.
• Ability to operate standard office machines and equipment, including telephones, computers, copy machines, fax machines, calculators, scanners and shredders.
• Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.
• Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards
• Type minimum __35__wpm
• Ten key by touch

Physical Requirements:

• Must be able to lift and carry up to 20 lbs
• Must be able to talk, listen and speak clearly on telephone
• Requires sitting and standing associated with a normal office environment.
• Manual dexterity needed for using a calculator and computer keyboard.
• Specific vision abilities include close vision, distance vision, depth perception and the ability to adjust focus.

Environmental Working Conditions:

• Normal office environment.
• The noise level of the work environment is usually moderate.
• Occasional overtime maybe required and/or hours may be shortened as business needs dictate.

*The job holder must demonstrate current competencies applicable to the position.