Professional Surgical Coder II (Onsite, Hybrid, Remote)

About the role

The Professional Surgical Coder at NorthBay plays a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner for professional surgery charges in the outpatient and inpatient settings.

Responsibilities

• Accurately translates medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner for professional surgery charges in the outpatient and inpatient settings.
• Dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system.
• Effectively communicates with providers via email, query, phone call or in person to educate or discuss coding requirements.
• Works using the approved classification Coding systems to include the modifiers.
• Carries out work in accordance with the rules, regulations and coding conventions of the AAPC/AMA CPT Guidelines, AAPC/AMA. American Hospital Association (Coding Clinic), ICD 10-CM CMS, HCAI, and NorthBay Healthcare coding guidelines.

Qualifications

• High School Graduate or equivalent preferred. College coursework a plus.
• Five or more years of experience in professional fee coding required including surgical coding in both inpatient and outpatient settings.
• Some leadership experience preferred, but not required.
• EMR Medical records experience is required.
• Experience with an encoder system preferred.
• Comprehensive knowledge and application of profee surgical guidelines including appropriate coding of assistants and co-surgeons.
• Demonstrated knowledge of anatomy and physiology, medical terminology, disease process, reimbursement methodologies (DRGs, HCCs, APCs), and the conventions, rules and guidelines for current coding classification (ICD10-CM, CPT and HCPCS).
• Demonstrated understanding of the clinical content of a health record.
• Knowledge of and experience with PC’s, Cerner, and/or computer systems and programs highly desired.
• Microsoft Office: Email, Word, Excel.
• Comprehensive understanding of insurance requirements and compliance guidelines for Medicare, PHP, WHA and Medi-Cal, Worker’s Compensation, Commercial Insurances.

Skills

• Ability and desire to hit metrics upon training (idle time is also monitored on this hourly paid position).
• Tech-savvy (ability to learn software and troubleshoot equipment as needed).
• Ability and self-discipline to be able to work remotely.
• The ability to work independently as well as in a team environment.

Hours of Work

Full Time
Days: Monday through Friday as assigned.
Timing may also be at discretion of leadership based on business need.

Requirements

• Must have a private, distraction-free area in your home for work (HIPAA reasons).
• Web-cam training will be used frequently for team engagement.
• Internet Requirements: Must have high speed internet. Please test your internet prior to applying to make sure you are over 125 mbps download speed or be willing to upgrade upon an offer.

Benefits

• Medical, dental, and vision insurance.
• Lifetime Life Insurance.
• Disability Insurance.
• Long-Term Care Insurance.
• Paid Time Off including vacation, sick leave, holidays, and bereavement.
• A 403(b) retirement plan with employer match.
• Education Reimbursement for eligible roles.
• Professional Development and Training Programs.
• Employee Assistance Program.
• Wellness Programs.
• Recognition Programs.
• Shift Differentials.
• Market-based compensation review and increases subject to approval and organizational performance.

Compensation

$42.24 to $51.34 based on years of experience doing the duties of the role.

About Us

Interpersonal Skills and Values
NorthBay Health’s True North Values: Nurture Care, Own It, Respect Relationships, Build Trust, and Hardwire Excellence.
These values guide behavior, accountability, teamwork, and commitment to high-quality patient care.

Why NorthBay Health

NorthBay Health is an independent, nonprofit health system serving the Napa, Solano, and Yolo County regions. We are expanding access to care across our communities through two acute-care hospitals, including a Level II Trauma Center and a Level III NICU maternity unit, along with a cancer center, urgent care locations, and a growing network of primary and specialty care clinics. We provide advanced services in cardiovascular care, neuroscience, orthopedics, surgery, and outpatient specialties. NorthBay Health is nationally recognized for quality care, including Magnet with Distinction designation for nursing and multiple U.S. News and World Report high performing recognitions. We are committed to being the trusted healthcare partner of choice and offer an environment where employees can grow, contribute meaningfully, and support the health of our communities.

NorthBay Health Benefits Options

• Medical, dental, and vision insurance.
• Lifetime Life Insurance.
• Disability Insurance.
• Long-Term Care Insurance.
• Paid Time Off including vacation, sick leave, holidays, and bereavement.
• A 403(b) retirement plan with employer match.
• Education Reimbursement for eligible roles.
• Professional Development and Training Programs.
• Employee Assistance Program.
• Wellness Programs.
• Recognition Programs.
• Shift Differentials.
• Market-based compensation review and increases subject to approval and organizational performance.

Remote Work Disclosure

This position is open to candidates located within the continental United States. Due to state-specific employment requirements and workers’ compensation regulations, we are unable to support remote work arrangements in the following locations: Washington, Ohio, Wyoming, North Dakota, Puerto Rico, and the U.S. Virgin Islands.

Notice to Recruitment Agencies

We do not accept unsolicited resumes or third-party candidate submissions. Please do not contact NorthBay Health employees, leaders, physicians, or hiring managers regarding recruitment or job postings.