Source To Win Consultancy Hiring For Omega Health Care

A surgery coder's job description involves analyzing medical records to assign accurate diagnosis and procedure codes, typically using systems like ICD-10-CM and CPT . This role requires a strong understanding of medical terminology and coding guidelines, and responsibilities include ensuring coding accuracy, collaborating with healthcare providers, and staying updated on regulatory changes. Key responsibilities Review and code medical records: Analyze patient charts, operative notes, and other documentation to identify and assign correct codes for diagnoses and surgical procedures. Apply coding systems: Utilize standardized coding systems such as ICD-10-CM and CPT codes to translate healthcare services into codes for billing and claims processing. Ensure accuracy and compliance: Conduct quality assurance reviews to ensure all coding is accurate, complete, and compliant with industry standards and regulations. This includes identifying any potential up-coding or down-coding. Address coding discrepancies: Collaborate with physicians and other healthcare staff to resolve billing discrepancies and gather missing information to complete the coding process. Manage documentation and reporting: Track cases that cannot be billed due to missing information and provide documented requests to the necessary departments. Maintain status reports on productivity and quality. Stay updated: Keep abreast of changes in medical coding guidelines, regulations, and best practices.