SDS Coder

Our Clients; Philippines; On-site; PHP 300,000 - 460,000; Full time

Job summary

Our Clients is seeking a detail-oriented and experienced Same Day Surgery (SDS) Medical Coder to accurately review, assign, and validate outpatient surgical procedure codes. The ideal candidate will have CPT, ICD-10-CM, HCPCS Level II knowledge and be familiar with payer guidelines to ensure compliant reimbursement.

Experience with EHR systems such as Epic, Cerner, or Meditech is preferred, along with strong communication and problem-solving skills.

Qualifications

• Proven experience with SDS or outpatient surgery coding.
• Strong knowledge of CPT, ICD-10-CM and HCPCS Level II.
• Familiarity with payer guidelines and regulatory requirements.

Responsibilities

• Review records to assign accurate diagnosis and procedure codes.
• Code outpatient and ambulatory surgery cases using CPT/ICD-10-CM/HCPCS Level II.
• Ensure compliance with coding guidelines and payer policies.
• Identify documentation gaps and coordinate with providers.
• Apply modifiers for accurate reimbursement.
• Review edits and resolve denials.
• Maintain productivity and quality standards.
• Participate in audits and education sessions.
• Stay updated on coding guidelines and payer policies.
• Collaborate with physicians and revenue cycle teams to improve accuracy.

Skills

Attention to detail

Analytical thinking

Excellent written and verbal comms

Independent worker

Education

CPC, CCS-P, CCS, or COC certification

2+ years SDS/outpatient coding experience

Tools

Epic

Cerner

Meditech

3M Encoder/TruCode

Job description

We are seeking a detail-oriented and experienced Same Day Surgery (SDS) Medical Coder to accurately review, assign, and validate medical codes for outpatient surgical procedures. The ideal candidate has strong knowledge of CPT, ICD-10-CM, HCPCS Level II, and payer-specific coding guidelines to ensure accurate reimbursement and regulatory compliance.

Key Responsibilities

• Review operative reports, physician documentation, anesthesia records, and supporting medical records to assign accurate diagnosis and procedure codes.
• Accurately code outpatient and ambulatory surgery cases using ICD-10-CM, CPT, and HCPCS Level II coding systems.
• Ensure compliance with AAPC, AHIMA, CMS, NCCI edits, OIG regulations, and payer-specific coding guidelines.
• Identify missing, incomplete, or conflicting documentation and coordinate with providers for clarification when necessary.
• Apply appropriate modifiers to ensure accurate reimbursement.
• Review coding edits and resolve coding-related denials or claim rejections.
• Maintain productivity and quality standards established by the organization.
• Participate in coding audits, education sessions, and quality improvement initiatives.
• Stay updated on annual coding guideline changes, payer policies, and regulatory requirements.
• Collaborate with physicians, clinical staff, auditors, and revenue cycle teams to improve coding accuracy and documentation quality.

Qualifications

• Active CPC, CCS-P, CCS, or COC certification.
• Minimum of 2 years of Same Day Surgery (SDS) or Outpatient Surgery coding experience.
• Strong knowledge of:
  • CPT Coding
  • ICD-10-CM
  • HCPCS Level II
  • National Correct Coding Initiative (NCCI)
  • CMS Outpatient Prospective Payment System (OPPS)
• Experience with electronic health record (EHR) systems such as Epic, Cerner, Meditech, or similar EMRs is preferred.
• Familiarity with encoder software such as 3M Encoder or TruCode is an advantage.
• Strong analytical, problem-solving, and attention-to-detail skills.
• Excellent written and verbal communication skills.
• Ability to work independently while maintaining productivity and quality standards.

Preferred Experience

Experience coding surgical specialties including, but not limited to:

• General Surgery
• Orthopedic Surgery
• Gastroenterology
• Urology
• ENT
• Gynecology
• Ophthalmology
• Plastic Surgery
• Pain Management
• Cardiovascular Procedures

Key Competencies

• Medical Coding Accuracy
• Regulatory Compliance
• Clinical Documentation Review
• Revenue Cycle Management
• Critical Thinking
• Time Management
• Quality Assurance
• Collaboration and Communication
• Continuous Learning

Success Measures

• High coding accuracy and audit scores.
• Productivity goals consistently achieved.
• Low coding-related denial rate.
• Compliance with organizational and regulatory standards.
• Timely completion of coding assignments while maintaining quality.