Single Path Same Day Surgery Coder

About the role

GeBBS Healthcare Solutions is a leading provider of Revenue Cycle Management (RCM) and Risk Adjustment services, helping healthcare organizations optimize operations, improve financial performance, maintain compliance, and enhance the patient experience. We combine innovative technology, industry expertise, and a commitment to excellence to deliver measurable results for clients across the healthcare industry.

Responsibilities

• Review outpatient same day surgery medical records and supporting documentation.
• Assign accurate ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, modifiers, and applicable facility coding elements for both professional and facility billing.
• Code a wide variety of orthopedic surgical procedures, including arthroscopy, joint procedures, spine, hand, foot and ankle, fracture repairs, and other musculoskeletal surgeries.
• Ensure accurate modifier assignment and compliance with National Correct Coding Initiative (NCCI) edits and payer guidelines.
• Review and reconcile charges to support complete and compliant charge capture.
• Identify documentation opportunities and communicate coding clarification needs when appropriate.
• Maintain established productivity and quality standards.
• Stay current with coding updates, payer policies, and regulatory changes impacting outpatient surgery services.

Requirements

• Minimum 3 years of recent Same Day Surgery coding experience.
• Extensive experience coding Orthopedic Surgery procedures.
• Experience coding both professional and facility services in a single-pathway workflow.
• Strong knowledge of:
  • ICD-10-CM
  • CPT/HCPCS
  • Modifier assignment
  • NCCI edits
  • OPPS/APC reimbursement methodologies

Qualifications

• Required Systems Experience:
  • Epic
  • 3M Encoder
• Required Certifications: One or more of the following AHIMA/AAPC certifications is required:
  • CCS
  • CPC
  • COC
  • RHIA
  • RHIT

Performance Expectations

• Coding Accuracy: 95% or greater
• Meets established productivity standards based on case complexity
• Timely completion of assigned work queues while maintaining quality expectations