Pro-Fee Medical Coder- General Surgery/Trauma

Job Family:

General Coding

Travel Required:

None

Clearance Required:

None

What You Will Do:

Under general supervision, the Pro Fee Medical Coder - General Surgery/Trauma codes any areas of the Surgery Department including all General Surgery and Traumas (Level 1 Trauma Center), using the most current CPT/ICD/HCPCS manuals as assigned.  If requested by supervisor, provides technical guidance and training on medical coding to physicians and/or other department staff.  Maintains knowledge of AMA guidelines and billing compliance and performs all other duties as required.

Must be self-directed / self-motivated; must have good communication and interpersonal skills.  Must be: (1) detail oriented (2) accept responsibility for the direction, control and planning of  one’s own work; (3) recognize the rights and responsibilities of patient and employee confidentiality; (4) adaptable to change and improvement; (5) relate to others in a manner which creates a sense of teamwork and cooperation; (6)show exemplary attitude in levels of maturity, responsibility, judgment and conduct (7) exhibit flexibility and cope effectively in an ever-changing, fast-paced healthcare environment; (8) perform effectively when confronted with emergency, critical, unusual or dangerous situations; and (9) demonstrate the quality work ethic of doing the right thing the right way.

• Assigns case numbers to special billing charges if applicable or sends to research as needed

• Assigns required CPT/ICD/ASA/HCPCS codes and/or modifiers as needed per documentation  

• Identifies missing information and gives to appropriate party for follow up

• Resolves TES edits as required

• Has specific job knowledge to perform assigned job functions, including all applicable computer programs

• Attends required in-service training, various committees, department and other appropriate meetings related to medical coding issues 

• Accepts assignments and suggestions willingly

Quality Assurance:

• Meets or exceeds quality assurance standards as defined by management for work assigned

• Admits mistakes, makes corrections, and works to prevent future occurrences

• Seeks continuing education to expand job knowledge

• Maintains all coding certifications

Productivity:  

• Meets or exceeds productivity standards as defined by management for work assigned

• Meets assigned deadlines/turnaround time

• Performs tasks efficiently and assumes more work when possible

• Works with management to ensure workflow is maintained and effective

Communication:

• Openly exchanges information with co-workers in a timely manner

• Respects the confidentiality of information in the workplace

• Displays pleasant and professional attitude at all time

• Listens well to co-workers and management to enhance understanding and participation

• Provides coding/technical guidance to physicians and other departmental staff in identifying and resolving issues or errors, such as incomplete or missing records and documentation, ambiguous or non-specified documentation, or codes that do not conform to approve coding principles/guidelines

• Informs others as needed in a clear, concise manner;  selects the proper mode of communication and includes appropriate parties

• Ensures all written communication is grammatically correct and checks for typographical errors

• Notifies supervisor promptly when problems arise with equipment, programs, etc.

Ethics and Compliance:

• Employee performs within the prescribed limits of the company's Ethics and Compliance program and is responsible to detect, observe and report compliance variances to their immediate supervisor, or upward through the chain of command, the Compliance Officer or the compliance hotline.  Employee completes all required annual compliance education.

What You Will Need:

• High School Diploma or equivalent

• 2-3 years prior General Surgery/Trauma Coding Experience

• Certified Professional Coder (CPC) or a comparable coding certification (e.g., AHIMA CCS-P)

• Proficient computer skills. 

What Would Be Nice to Have:    

• 3-5 years General Surgery Coding Experience

• CGSC - Certified General Surgery Coder

Additional Requirements

• The successful candidate must not be subject to employment restrictions from a former employer (such as a non-compete) that would prevent the candidat