SDS Facility Coder (Goshen)

Same Day Surgery Coder

Required Skills & Experience- 3+ years of recent SDS (Same Day Surgery) Facility coding.

Active AAPC or AHIMA certification

Experience coding GI/colonoscopy, cardiac catheterization (diagnostic and interventional), interventional radiology, general surgery, urology surgeries, and oncology/cancer surgeries.

Proficient in Microsoft Office, including Outlook, Excel, and Teams.

Able to meet and maintain a 95% quality accuracy rate and productivity standards.

Ability to apply official coding guidelines, NCCI edits, CPT Assistants, and Coding Clinics.

Job Description

We are seeking a same day surgery coder with at least three years of experience. The SDS coder is responsible for reviewing medical records for outpatient, or same day, surgical procedures, and assigning appropriate diagnostic and procedural codes (CPT and ICD-10) to ensure accurate billing and reimbursement.

Key responsibilities:

• Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding.
• Submit necessary provider queries to resolve documentation discrepancies.
• Perform quality assessment of records, including verification of medical record documentation.
• Review appropriate charges and make changes or recommendations based on the documentation.
• Responsible for researching errors or missing documentation from medical records to provide accurate coding processes.
• Abstracts and assigns the appropriate ICD-10-CM and CPT codes for all diagnoses and procedures performed in the outpatient and surgical settings as applicable.