Advanced Coding Specialist

Default Brand; United States; On-site; USD 60,000 - 90,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Disability Insurance

Life Insurance

PTO

401(k) and Profit Sharing

Job summary

OSS Health is seeking an Advanced Coding Specialist to join the Coding Department within Revenue Cycle Management. You will code physician and facility services for hospital, ASC, ED consults, hospitalist services and offsite care, adhering to payer policies and federal regulations.

The role requires 1 year of surgical coding experience, active CPC or CCS certification, and advanced coding certifications. Monday–Friday 8am–4:30pm with comprehensive benefits.

Qualifications

• High school diploma or equivalent.
• Active AAPC CPC or AHIMA CCS certification.
• Active advanced specialty certification (e.g. COC, CIC, COSC, CASCC, CANPC, CDEO, CDEI, CGSC, CIRCC).
• Minimum of 1 year hands-on surgical coding experience and facility-based billing.
• Strong understanding of CPT, HCPCS Level II, Anesthesia coding, and ICD-10-CM.
• Knowledge of coding in surgical practices, ambulatory surgery centers, and inpatient/outpatient hospital settings.
• Strong understanding of NCCI edits, medical necessity requirements and bundling guidelines.
• Advanced analytical and problem-solving skills.
• Ability to work independently.
• High-level knowledge of general surgery-related medical terminology, anatomy, and pathophysiology.
• Fluent written and spoken English required.

Responsibilities

• Examine operative reports, anesthesia records, and surgical findings to extract codes.
• Ensure coding compliance with federal regulations, payer policies, HIPAA.
• Identify and resolve documentation deficiencies; communicate with providers for clarification.
• Validate surgical requirements are met within clinical and financial records.
• Utilize coding software, encoder and other resources provided.
• Stay current on coding updates, payer guidelines, and healthcare regulations.
• Support overall revenue cycle efficiency.
• Maintain productivity goals set by department.
• Assist with E/M coding as needed.
• Other duties as assigned.

Job description

At OSS Health, our mission is to continually strive to be the healthcare leader in quality,innovationand value. We make every effort to understand and exceed the expectations and needs of our patients.We are committed to providing an environment that is safe, respectful, and dignified at all times.

Joining OSS Health means joining a culture of excellence and teamwork, with a strong focus on employee development and community support. OSS Health offersa great workenvironment, professional development opportunities, meaningful careers, and competitive compensation.

JOB SUMMARY:

The Advanced Coding Specialist operates as a member of the Coding Department within Revenue Cycle Management. The Advanced Coding Specialist is responsible for coding physician and facility services for the hospital, ASC, ED consults, hospitalist services and/or on-call, offsite services.

SCHEDULE:

Monday-Friday - 8am-4:30pm

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Examine operative reports, anesthesia records, and surgical findings to extract accurate ICD-10 CM, ICD-10-PCS, CPT, and HCPCS codes based on payer, provider, and/or location billing requirements.
• Ensures coding compliance with federal regulations, payer policies, HIPAA and industry standards.
• Identify and resolve documentation deficiencies; communicate with providers when clarification is needed
• Validates surgical requirements are met within clinical and financial records
• Utilizes coding software, encoder and other resources provided
• Stay current on coding updates, payer guidelines, and healthcare regulations.
• Support overall revenue cycle efficiency
• Maintains productivity goals set by department
• Assists with E/M coding as needed
• Other duties as assigned.

EDUCATION:

• High school diploma or equivalent required

EXPERIENCE/QUALIFICATIONS:

• High school diploma or equivalent required
• Active AAPC, CPC or AHIMA CCS certification
• Active advanced specialty certification though AAPC or AHIMA (e.g. COC, CIC, COSC, CASCC, CANPC, CDEO, CDEI, CGSC, CIRCC)
• Minimum of 1-year hands-on surgical coding experience and facility-based billing
• Strong understanding of CPT, HCPCS Level II procedure and supply codes, Anesthesia coding, and ICD-10-CM diagnosis coding.
• Knowledge of coding in surgical practices, ambulatory surgery centers, and inpatient and outpatient hospital settings.
• Strong understanding of National Correct Coding Initiative (NCCI) edits, medical necessity requirements and bundling guidelines.
• Advanced analytical and problem-solving skills.
• Ability to work independently
• High-level knowledge of general surgery-related medical terminology, anatomy, and pathophysiology.
• Fluent written and spoken English required.

BENEFITS INCLUDE:

• Competitive Wages
• Medical, Dental, Vision available on the first day of employment
• Disability, and Life Insurance within90 days
• Company-PaidGroup Life Insurance, Short-Term Disability & Long-Term Disability
• Paid Time Off (PTO)
• 401(k) plan and profit sharing

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.