The Coder Specialist II is responsible for appropriately abstracting and coding procedures, surgeries, and evaluation and management visits for assigned specialties. In addition, the Coder Specialist II may require training of other coding, billing and physician staff.
Job Duties and Responsibilities:
Performs accurate and timely coding (CPT, ICD-9, ICD-10, HCPCS, modifiers).
Maintains knowledge with such issues as HCFA coding regulations, Medicare rules, visits and procedures on the same day, consultation vs. referral, surgeries, etc.
Understands and implements coding guidelines for multi-specialty surgical practices and/or sophisticated surgical coding.
Is present in seminars and workshops, as applicable, for updates on new coding rules and regulations.
Elevates issues, as appropriate, to the Coding Supervisor and Manager.
Meets efficiency and quality standards.
Understands coding trends to include NCD, LCD, and CMS guidelines.
Identifies trends and issues with overall division and individual physician coding practices and presents solutions.
Maintains confidentiality of patient care and business matters.
Follows policies and procedures pertinent to the coding and compliance departments.
Performs other duties as assigned.
High school diploma or GED required.
Certified Professional Coder (CPC) required.
Three (3) years minimum surgical coding experience in coding unit, preferably physician or medical group in multi-specialty surgical practices (i.e., Cardiothoracic Surgery, Neurosurgery, General Surgery, Orthopedics, etc.).
Extensive knowledge of coding surgical procedures and applicable modifiers in multi-specialty setting.
Understands and applies appropriate teaching physician guidelines to coding.
Working Title: Surgical Coder Specialist ll - Physician Billing Office
Providing healthcare for more than 100 years, Cedars-Sinai has evolved into one of the most dynamic and highly renowned medical centers in the world. Along with caring for patients, Cedars-Sinai is a hub for biomedical research and a training center for future physicians and other healthcare professionals. This attracts exceptional talent to Cedars-Sinai, including world-renowned physician-scientists who seek a place where they can both conduct research and see patients--the ideal formula for discovery and its translation into cures. Our patients benefit from access to doctors at the top of their fields, and our researchers have an ideal community in which to study the impact of healthcare challenges, and reflect that knowledge in their research. The greater Los Angeles area in which Cedars-Sinai resides possesses unparalleled cultural and ethnic diversity which offers outstanding opportunities for translational and clinical research and a dynamic environment for medical education.Although community based, Cedars-Sinai is a major t...eaching hospital affiliated with the David Geffen School of Medicine at the University of California, Los Angeles (UCLA). Cedars-Sinai has highly competitive graduate medical education programs in more than 50 specialty and subspecialty areas, a graduate program in biomedical sciences and translational medicine, a clinical scholars program directed towards junior physicians with aspirations to become clinical scientists, and post graduate training opportunities.There are more than 250 full-time faculty members at Cedars-Sinai. The voluntary medical staff, comprised of more than 2,200 specialty board-certified or board-qualified physicians, represent all of the specialties and subspecialties and collaborate with full-time medical staff in the teaching responsibilities of the graduate medical education programs.