Anesthesia Coding Specialist

This role is for one of the Weekday's clients

Anesthesia Coding Specialist

Requirements

Key Responsibilities:

• Review and accurately code anesthesia-related medical records, including operative reports, anesthesia records, and physician documentation.
• Assign appropriate CPT anesthesia codes (00100-01999), modifiers, base units, time units, and qualifying circumstances in compliance with AMA and payer guidelines.
• Ensure correct application of anesthesia modifiers (AA, QK, QX, QY, QZ, AD, etc.) based on provider involvement and care models.
• Calculate anesthesia time accurately and ensure proper documentation to support billed units.
• Code diagnoses using ICD-10-CM to support medical necessity for anesthesia services.
• Review claims prior to submission to ensure accuracy, completeness, and compliance with payer policies.
• Identify, analyze, and resolve coding-related denials and rejections related to anesthesia claims.
• Stay up to date with changes in anesthesia coding guidelines, CPT updates, payer rules, and regulatory requirements.
• Collaborate closely with billing, compliance, clinical, and revenue cycle teams to improve coding accuracy and turnaround time.
• Participate in internal and external audits, responding to queries and implementing corrective actions as required.
• Maintain productivity and quality benchmarks while adhering to HIPAA and confidentiality standards.
  

Required Skills & Qualifications:

• 2 to 15 years of hands-on experience in anesthesia coding within a healthcare or medical billing environment.
• Strong expertise in anesthesia coding concepts, including base units, time units, modifiers, and qualifying circumstances.
• In-depth knowledge of CPT, ICD-10-CM, and HCPCS coding standards specific to anesthesia services.
• Familiarity with payer-specific anesthesia billing rules, including Medicare, Medicaid, and commercial payers.
• Ability to interpret complex medical records and anesthesia documentation with high accuracy.
• Experience working with EHRs, coding software, and billing systems.
• Strong analytical skills with attention to detail and a commitment to accuracy and compliance.
• Excellent written and verbal communication skills.
  

Preferred Qualifications:

• Certified Professional Coder (CPC), Certified Anesthesia and Pain Management Coder (CANPC), or equivalent certification.
• Experience handling audits, appeals, and denial management for anesthesia claims.
• Exposure to end-to-end revenue cycle processes related to anesthesia services