Anesthesia/Surgical Coder

Anesthesia/Surgical Coder I

Physicians East, P.A. is a team of skilled healthcare professionals united to meet the challenge of delivering quality, cost-efficient, comprehensive healthcare to the people of Eastern North Carolina.

Coder will review documentation to assign appropriate CPT/ASA codes, consulting the CPT-4/ASA manual and established criteria. Coder may collaborate with clinic supervisors, providers, and the Revenue Management team to resolve complex coding issues and questions, adhering strictly to applicable payer rules and guidelines.

To be successful in this role, you will possess at least three years of recent experience in anesthesia and pain coding, exceptional attention to detail, a deep understanding of CPT/ASA coding principles and payer rules, and strong communication skills to effectively resolve coding challenges.

Responsibilities:

• Assigns appropriate CPT/ASA codes using the CPT4/ASA manual and criteria, and ICD10CM diagnosis codes to anesthesia visits.
• Assigns appropriate CPT codes using the surgical coding guidelines and criteria, and ICD10CM diagnosis codes to surgical visits.
• Determines time units, total units, and proper use of modifiers commonly used in anesthesia and surgical coding cases based on patient record documentation.
• Understands, retains, and researches coding and billing rules, regulations, and requirements, including reasons for actions on edits.
• Critically reviews all information to recognize errors or problems in coding, and runs concurrency reports for anesthesia time discrepancies, escalating complex overlaps.
• Maintains assigned work queues and coding assignments within defined processing timeframes, submitting appropriate queries to providers for clarification when needed.
• Follows established protocols to promote departmental efficiencies and timely filing of claims, possessing advanced knowledge of anatomy, physiology, terminology, and coding guidelines.
• Other related research and reviews as assigned

Job Requirements:

• High School Diploma/G.E.D.
• A minimum of three (3) years of recent experience in anesthesia and pain coding
• Knowledge of anesthesia coding and elements related to anesthesia claims, such as units of time and anesthesia modifiers
• Understand rules and regulations governing Medicare billing of anesthesia and pain services
• Knowledge of NCCI, ICD10CM, CPT, and modifiers pertaining to anesthesia and pain services
• Demonstrate knowledge of medical terminology and anatomy and physiology
• Epic experience
• CPC or CCS or CCSP upon hire, Source: AAPC/AHIMA
• Certified Anesthesia and Pain Management Coder (CANPC) certification Preferred

Location & Commitments:

Full-time role based at our Greenville Arlington Blvd. location, Monday-Friday, 8a.m. – 5 p.m.

Overtime may be required to ensure patients are taken care of, tasks are completed, and calls are returned in a timely manner.

Affirmative Action/EEO Statement:

Physicians East, P.A. is an equal opportunity employer and will not discriminate against any applicant or employee on the basis of age, race, color, ethnicity, religion, creed, sex (including gender, pregnancy, sexual orientation, and gender identity, which includes status as a transgender individual), national origin or ancestry, citizenship, past, current, or prospective service in the uniformed services, genetic information (including family medical history), physical or mental disability, or other legally protected status. Reasonable accommodation will be made for persons with disabilities during the application process and/or at the time of employment. Requests for accommodation should be made to the Human Resources Department as early as possible in the application/employment process. Contact HR Office at 252-413-6368 or email careers@physicianseast.com

Disclaimer:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.