Profee Surgical Coding Specialist

About Us

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.

About the Role

Coding Specialists are an important part of the Team at CorroHealth. The Coding Team Member will provide CPT, HCPCS and ICD-10-CM coding for a minimum of 1-4 specialties, focusing on Professional Fee surgeries. Specialties could include General Surgery, Trauma, and more complex surgeries.

Responsibilities

• Work from home independently in coding tasks.
• Provide various components of coding services to support clients.
• Recognize critical care cases by patient acuity.
• Code surgical procedures typical of an ER setting to capture additional revenue when appropriate.
• Apply ICD-10-CM diagnosis codes to the highest level of specificity available.
• Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS.
• Interpret coding guidelines for accurate code assignment.
• Identify the importance of documentation on code assignment and the subsequent reimbursement impact.
• Align conduct with AHIMA's Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct, supporting the Company’s Ethics and Compliance Program.
• Comply with all internal policies and procedures.
• Actively participate in Company-provided training and education.
• Maintain at least one credential through either AAPC or AHIMA.
• Ensure individual compliance with all privacy and security rules and regulations, protecting all Company confidential information, including Personal Health Information.
• Maintain an ongoing productivity level and accuracy rate of 95% or higher.
• Maintain a quality score of 95% or higher.
• Perform other duties as assigned by Leadership Team Member.

Requirements

• Certification through either the AAPC (CPC or COC) or AHIMA (CCS or CCS-P).
• Minimum of 2 years of on-the-job paid work experience coding various surgery types.
• Regular, predictable, and punctual attendance.
• Working knowledge and experience with systems such as EMR, Billing, etc.
• Access to a phone, reliable internet connection, and current coding materials such as CPT and ICD-10-CM coding references.
• Proficiency in Microsoft programs like Excel and Outlook:
  • Excel: Ability to open and add to a spreadsheet, perform basic formulas like adding or multiplying.
  • Outlook: Ability to manage emails and schedule and attend meetings.
• Ability to communicate effectively and professionally both verbally and in writing.
• Ability to coordinate, analyze, observe, make decisions, and meet deadlines.

Physical Demands

• Regular eye-hand coordination and manual dexterity to operate office equipment.
• Ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions.
• Subject to sitting for prolonged periods.
• Infrequent lifting and moving of material weighing up to 20 lbs.
• May experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.