Posted:2 weeks ago| Platform: Shine logo

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Job Type

Full Time

Job Description

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.   
 

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