Production Coding Specialist III

This is a fully remote position, open to applicants in Texas.

📋 Description

• Reviews documentation to ensure all essential components are present, including attestations, signatures, dates, and other necessary medical record details.

• Abstracts and codes surgical procedures from the entire CPT range and aligns surgical codes with ASA standards.

• May handle coding for more intricate anesthesia cases.

• Applies relevant modifiers as needed.

• Codes using ICD10 standards.

• Abstracts anesthesia times and related events.

• Identifies and assigns care team providers effectively.

• Conducts reviews for medical direction compliance.

• Achieves team KPIs, including daily production targets and quarterly coding audit score objectives.

• Manages cases escalated by coding staff and offers constructive feedback on these cases.

• Generates required reports for management upon request.

• Addresses complex edits and denials, including issues related to concurrency and provider time conflicts.

• Recognizes and reports emerging trends.

• Undertakes additional duties as assigned.

• Complies with all company policies and procedures, particularly regarding HIPAA and confidentiality.

⛳️ Requirements

• Over 5 years of experience in complex surgical CPT and ICD10 coding.

• A minimum of 4 years of anesthesia coding experience.

• Experience in additional complex coding areas such as cardiac, critical care, transplant, and interventional radiology.

• Current CPC certification is required; CANPC certification is a plus.

• Must have experience coding for physicians, CRNAs, CAAs, NPs, SRNAs, and residents.

• Proficient in using Athena IDX for managing edits, denials, manual tasks, and charge corrections.

🏝️ Benefits

• Bonuses are not guaranteed and are awarded based on both company and individual performance.