Job Title
GI Surgery Physician Complex Coder
Estimated Pay Range
$25.54 - $38.30 / hour
Department
Coding Ambulatory
Work Shift
Day
Job Category
Revenue Cycle
Location
Fully remote – open to employees residing in AK, AL, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI & WY.
Position Summary
This position evaluates medical records and provides clinical and surgical abstraction for complex and multispecialty surgical, procedural, and E&M professional services in accordance with nationally recognized coding guidelines.
Core Functions
Analyzes medical information from records; accurately codes diagnostic and procedural information, consults with medical providers, and provides thorough, timely coding to meet productivity and quality standards.
Abstracts clinical diagnoses, procedure codes, and other pertinent information into the electronic medical record, seeking missing information and ensuring complete records with required signatures.
Provides quality assurance for medical records, ensuring compliance with coding rules and regulations for Medicaid, CMS, OIG, HCFA, and professional standards.
Compiles daily and monthly reports and tabulates data for research or analysis purposes.
Identifies validation edits and revision issues to ensure compliant coding.
Recognizes complex diagnoses and procedures and makes necessary corrections for accurate reimbursement and compliance.
Works independently under supervision, using specialized knowledge for accurate assignment of ICD/CPT codes and seeking guidance on coding guidelines and LCDs.
Minimum Qualifications
High school diploma/GED or equivalent; or an Associate’s degree in a related health care field.
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist – Physician (CCS‑P), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT) in active status with AHIMA or AAPC.
Three or more years of complex professional coding experience within the specialty.
Demonstrated knowledge of ICD and CPT coding principles per AHIMA competencies.
Ability to work effectively in a remote setting using office programs, coding software, and abstracting systems.
Preferred Qualifications
Specialty certification (e.g., Radiology Certified Coder if engaged in Imaging).
Experience in a large, multi‑system physician practice.
Additional related education and/or experience.
EEO Statement
EEO/Disabled/Veterans. Our organization supports a drug‑free work environment.
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