Job ID#: 39377
Position Overview
The ProFee Surgery Coder supports the RW - Onshore department in various functions, including performing accurate professional fee coding, resolving edits and rejections, and ensuring pro-fee coding compliance. This role is critical in enabling onshore revenue cycle operations to optimize pro-fee billing and revenue capture. This role involves coding, auditing, providing expertise, and identifying process improvements.
Role Responsibilities
In addition to the responsibilities listed below, the ProFee Surgery Coder may be required to perform other duties as assigned by leadership to support efficient business operations.
The essential functions of this role are listed below:
Code professional fees for surgical services accurately
Review denials and rejections related to surgery coding
Query providers on documentation for surgery coding
Conduct audits on surgery coding accuracy
Provide surgery coding education and training
Perform other duties as assigned or required
Work Experience
2+ years of experience in professional surgery coding and auditing
In-depth knowledge of coding guidelines, regulations, and reimbursement methodologies
Proficiency with electronic health record systems
Advanced understanding of surgery coding practices
Physical Demands and Work Environment
This role is primarily office-based, with rare but occasional requirements for meetings or interactions outside of regular office hours. Work may involve prolonged periods of sitting, extensive computer use, and occasional stress associated with meeting deadlines and managing high volume requests.
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