Overview
The incumbent of this role abstracts medical record documentation into surgical CPT and crosswalk to the appropriate ASA codes. This role requires a high level of competency in ICD10 coding and coding guidelines. Coder II codes for physicians, CRNA, CAA, NP, SRNA, and residents. Must have familiarity with LCD/NCD and experience with CMS guidelines for coding. The ability to abstract data into the MD Cloud Practice Solutions platform is critical, and may include work with other charge capture platforms, including Medaxion, PC7, and multiple facility EMR’s based on assigned location.
Job Highlights
ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to):
- Reviews documentation for appropriate required elements, such as attestations, signatures, dates etc.
- Abstracts and codes surgical procedures from all sections of CPT and cross walk surgical codes to ASA, the coder II may code the more complex anesthesia cases than a coder I.
- Applies appropriate modifiers.
- Codes ICD10.
- Codes in a variety locations and codes cases of high complexity.
- Abstracts anesthesia times and events.
- Identifies and assigns care team providers.
- Reviews for medical direction.
- Meets team KPIs including daily production and quarterly coding audit score requirements.
- Works in escalation workflows and responds to coder requests for more information, and processes coding rejections and physician responses.
- Works assigned IDX edits and claim denials.
- Performs other duties as assigned.
- Adheres to all company policies and procedures – especially HIPAA and confidentiality.
- Follows pre-established departmental playbooks and pathways.
Qualifications
Knowledge/Skills/Abilities (KSAs):
- Highschool graduate or equivalent.
- 3-5 years of surgical coding experience, 2+ years of anesthesia experience.
- Current CPC required, CANPC a plus.
- Complex surgical
- Experience with multiple EMR’s and documentation types and templates, including handwritten paper documentation, and electronic medical records.
- Intermediate knowledge and working experience with Microsoft Word, Excel, and Adobe
- Intermediate Outlook
- Ability read, write, and speak English.
- Communicate well with all levels of USAP
- Excellent organizational and time management skills required to complete daily assignments
- Excellent computer
- Ability to self-motivate new
- Ability to work
*The physical demands described here are representative of those that may need to be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Occasional Standing
- Occasional Walking
- Frequent Sitting
- Frequent hand, finger movement
- Use office equipment (in office or remote)
- Communicate verbally and in writing
DISCLAIMER: The above job description has been written to indicate the general nature and level of work performed by employees within this classification. It is not written to be inclusive of all duties, responsibilities and qualifications required of employees assigned to this job.
Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.
