Surgical Certified Procedural Coding Specialist

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

📋 Description

• Evaluate health record documentation to verify that it aligns with assigned diagnoses and procedures.

• Precisely assign surgical ICD-10 and CPT codes for inpatient, observation, and day surgery cases.

• Utilize UHDDS definitions and Prospective Payment System guidelines to identify principal diagnoses and procedures.

• Validate DRGs and APCs.

• Categorize non-indexed medical terms using knowledge of disease processes and surgical procedures.

• Assist Patient Billing Services in submitting accurate claims that fulfill medical necessity requirements.

• Review and conduct charge data entry within hospital and physician patient accounting systems.

• Refer to resource materials and navigate electronic systems, including Epic.

• Collaborate with coding staff, nursing units, case management teams, physicians, clinics, and hospital personnel.

• Examine documentation to ensure appropriate codes align with medical necessity.

• Execute other tasks as assigned.

⛳️ Requirements

• High School diploma or GED.

• One of the following certifications: CCA, CCS, CPC, RHIT, or RHIA.

• A minimum of two (2) years of coding experience is required.

• Familiarity with anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology.

• Understanding of ICD-10 and CPT coding classification systems.

• Knowledge of UHDDS definitions and Prospective Payment System guidelines.

• Capability to identify principal diagnoses and procedures and validate DRGs and APCs.

• Competence in classifying non-indexed medical terms.

• Preferred: Bachelor’s degree in health information management or a related field.

• Preferred: Associate's degree in health information management or a related field.

• Must provide proof of legal authorization to work in the United States on the first day of employment.

• Subject to pre-employment screening, including criminal background checks, drug testing, and/or education verification.

🏝️ Benefits

• Medical, Dental, and Vision plans available for eligible staff and their families.

• Holiday, Vacation, and Sick Leave.

• Education discount for staff and dependents (undergraduate only).

• Up to 10% matched contribution from UAMS.

• Basic Life Insurance coverage up to $50,000.

• Career Training and Educational Opportunities.

• Merchant Discounts.

• Concierge prescription delivery available on the main campus when using UAMS pharmacy.