Profee General Surgery Medical Coder

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

📋 Description

• Reviews medical records to identify relevant diagnoses and procedures related to the patient's healthcare encounter.

• Selects the primary diagnosis and primary procedure according to UHDDS definitions.

• Ensures accurate DRG assignment.

• Abstracts necessary information from the medical record in accordance with client guidelines.

• Meets productivity and quality performance standards.

• Utilizes company software to enter charts coded in real-time.

• Requests clarification from the physician regarding any ambiguous or conflicting documentation.

• Participates in team meetings and training sessions as needed.

• May engage in training or shadowing of fellow coders.

• Maintains up-to-date knowledge of the Coding Clinic, CPT Assistant, and the Official Guidelines for Coding and Reporting.

⛳️ Requirements

• 5 years of experience in coding a variety of General Surgery procedures.

• CPC, COC, CIC, CCA, CCS, CCS-P, RHIT, or RHIA certifications.

• Experience with Epic/3M systems.

• At least 3+ years of experience coding surgical procedures, including but not limited to: tonsillectomy, tumor excision, tracheostomy, lymph node removal, thyroid lobectomy, skin graft, laminotomy, facetectomy, foraminotomy, herniated disk repair, vertebral augmentation, spinal fixation, allograft, etc.

• Strong verbal and written communication skills.

• Familiarity with medical terminology, anatomy, physiology, surgical technology, pharmacology, and disease processes.

• Comprehensive knowledge of ICD-10-CM, CPS, and CPT coding principles and guidelines, as well as reimbursement systems, federal, state, and payer-specific regulations and policies related to documentation, coding, and billing.

🏝️ Benefits

• Healthcare coverage.

• 401(k) plan.

• Paid time off.