Position Summary
The Surgical Coder is responsible for accurately reviewing, analyzing, and assigning the appropriate CPT, ICD-10-CM, and HCPCS codes for surgical and procedural documentation in patient medical records. This role ensures coding compliance with all applicable regulations and guidelines to optimize reimbursement and maintain the integrity of clinical and financial data.
Job Type
Full-time
Job Details
Job Title: Surgical Coder
Department: Revenue Cycle Management
Reports To: RCM Director
Location: HQ West Palm Beach
Key Responsibilities
Review operative reports and clinical documentation to assign appropriate CPT, ICD-10-CM, and HCPCS Level II codes.
Ensure accurate capture of modifiers and adherence to payer‑specific coding guidelines.
Verify that all coded information supports medical necessity and aligns with regulatory requirements (e.g., CMS, AMA, and payer‑specific policies).
Query physicians for clarification or additional documentation when necessary.
Maintain current knowledge of coding guidelines, compliance requirements, and regulatory updates.
Collaborate with billing, compliance, and revenue cycle teams to resolve coding and claim issues.
Participate in internal audits and quality assurance reviews.
Meet productivity and accuracy benchmarks as established by the department.
Protect patient confidentiality in accordance with HIPAA standards.
Requirements
Education and Experience:
High school diploma or equivalent required.
Minimum of 3 years of surgical coding experience (ambulatory surgery, hospital outpatient, or inpatient) preferred.
Certifications (required):
Certified Professional Coder (CPC) – AAPC
Certified Coding Specialist (CCS) – AHIMA
Certified Outpatient Coder (COC) – AAPC
Skills and Competencies:
Strong knowledge of medical terminology, anatomy, and surgical procedures.
Proficiency in CPT, ICD-10-CM, and HCPCS Level II coding systems.
Familiarity with electronic health record (EHR) systems and coding software.
Excellent analytical, organizational, and communication skills.
High attention to detail and ability to work independently with minimal supervision.
Salary
$20 - $27 per hour
Seniority Level
Mid-Senior level
Employment Type
Full-time
Job Function
Engineering and Information Technology
Industries
Medical Practices
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