Coder II - Surgical (Remote)

Cedars-Sinai; California; Remote; USD 65,000 - 95,000; Full time

Benefits offered by this job

Healthcare

Paid time off

403(b)

Job summary

Cedars-Sinai seeks a Certified Procedural Coder to join its coding team in Los Angeles.

Under general supervision, you will assign ICD-10-CM and CPT codes for patients, apply modifiers, and ensure accurate data for optimal reimbursement.

The role requires CPC certification, several years of surgical coding experience, familiarity with Medicare rules and California/National reporting requirements, and a commitment to confidentiality.

Qualifications

• Certified CPC required.
• Certified Surgical Specialty Credentials (CGSC or others) preferred.
• High school diploma or GED required.
• Minimum of 3 years of surgical coding experience within a multi-specialty medical group or multi-specialty physician practice (e.g., Orthopedics, Cardiothoracic Surgery, Neurosurgery, General Surgery, Obstetrics / Gynecology, Gastroenterology).
• Familiarity with ICD-10-CM, CPT-4 coding and payment methodologies.
• Working knowledge of California and National reporting requirements.

Responsibilities

• Performs accurate and timely coding (CPT, ICD-10, HCPCS, modifiers).
• Maintains familiarity with 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 complex surgical coding.
• Attends seminars and workshops, as applicable, for updates on new coding rules and regulations.
• Elevates issues, as appropriate, to the Coding Supervisor and Manager.
• Meets productivity and quality standards as designated by Coding Supervisor and Manager.
• 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.

Skills

ICD-10-CM coding

CPT coding

Modifier application

Anatomy & physiology knowledge

Education

Certified Procedural Coder (CPC)

Surgical specialty credentials (CGSC)

High school diploma or GED

Tools

Medicare rules knowledge

Job description

Align yourself with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles.We also were awarded the Advisory Board Company's Workplace of the Year.We provide an outstanding benefit package that includes healthcare, paid time off and a 403(b).Join us! Discover why.News & World Report has named us one of America's Best Hospitals.

What will you be doing in this role?

Under general direction of the Coding Supervisor, (using knowledge of CSMC and Official Coding guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented treatment and procedures performed at CSMC and Cedars-Sinai Affiliates and their locations) assigns ICD-10-CM and CPT codes for patients receiving services at CSMC.Accurately assigns all applicable modifiers for all patients to assure optimal reimbursement and the highest quality data possible.

• Performs accurate and timely coding (CPT, ICD-10, HCPCS, modifiers).
• Maintains familiarity with issues like 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 complex surgical coding.
• Attends seminars and workshops, as applicable, for updates on new coding rules and regulations.
• Elevates issues, as appropriate, to the Coding Supervisor and Manager.
• Meets productivity and quality standards as designated by Coding Supervisor and Manager.
• 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.

Requrements

Experience we are Seeking :

• Certified Procedural Coder (CPC) required.
• Certified Surgical Specialty Credentials (CGSC or others) preferred.
• High school diploma or GED required.
• Minimum of 3 years of surgical coding experience within a multi-specialty medical group or multi-specialty physician practice (., Orthopedics, Cardiothoracic Surgery, Neurosurgery, General Surgery, Obstetrics / Gynecology, Gastroenterology).
• Familiarity with ICD-10-CM, CPT-4 coding and payment methodologies.
• Working knowledge of all California and National reporting requirements..