Multi-Specialty Profee and/or Facility Medical Coder

Sutherland Global; Atlanta (GA); On-site; USD 55,000 - 75,000; Full time

Job summary

Sutherland Global is seeking a medical coder to analyze and interpret records, assign ICD-10 and CPT/HCPCS codes, and ensure compliant billing for inpatient and outpatient services. You will address denials and seek clarifications where documentation is unclear.

The role requires CPC/CCS-P certification and 2+ years in multi-specialty medical coding, with strong attention to detail and analytical skills.

Qualifications

• At least 2+ years of inpatient and outpatient professional medical coding experience, ideally multi-specialty.

Responsibilities

• Analyze and interpret complex records to identify and bill services with ICD-10 and CPT/HCPCS codes.
• Assign/sequencing billing codes in compliance with payer requirements and seek clarification when documentation is non-specific.
• Review coding-related denials and recommend resolution based on payer guidelines.

Skills

Effective communication

Analytical skills

Attention to detail

Education

CPC/CCS/CCS-P certification

Job description

Company Description:

Artificial Intelligence. Automation. Cloud Engineering. Advanced Analytics. For Enterprises, these are key factors of success. For us, they're our core expertise. We work with global iconic brands. We bring them a unique value proposition through market-leading technologies and business process excellence. At the heart of it all is Digital Engineering - the foundation that powers rapid innovation and scalable business transformation. We've created 363 unique and independent inventions, 250 of which are AI-based and rolled up under several patent grants in critical technologies. Leveraging our advanced products and platforms, we drive digital transformation at scale, optimize critical business operations, reinvent experiences, and pioneer new solutions, all provided through a seamless "as-a-service" model. For each company, we provide new keys for their businesses, the people they work with, and the customers they serve. With proven strategies and agile execution, we don\'t just enable change - we engineer digital outcomes. Sutherland Digital Outcomes.

Job Description:

You will analyze and interpret complex records in order to identify and accurately bill for services with the appropriate ICD-10 and CPT/HCPCS codes. This will include assigning/sequencing billing codes in compliance with third party payor requirements and obtaining clarification when presented with conflicting or non-specific documentation, when necessary. In addition, you may be involved in reviewing coding-related denials from payors and making recommendations to resolve claims based on payer guidelines.

Qualifications:

To qualify you must possess:

• At least 2+ years of inpatient and outpatient professional medical coding experience required; with a background coding for multi-specialty practices.

AND/OR

• At least 2+ years of relevant facility coding experience, specifically in Clinics (mandatory), Lab/Radiology (mandatory), ED, OBS, SDS, and/or Inpatient (strong preference for injection/infusion experience).
• CPC, CCS, or CCS-P certification required
• Effectivecommunication, analytical and research skills with a keen attention to detail

Additional Information:

All your information will be kept confidential according to EEO guidelines.

EEOC and Veteran Documentation
During employment, employees are treated without regard to race, color, religion, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other legally protected status.
At times, government agencies require periodic reports from employers on the sex, ethnicity, handicap, veteran and other protected status of employees. The purpose of this Administrative EEO Record is for statistical analysis only and is used to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Administrative EEO record is optional. If you choose to volunteer the requested information, please note that all
Administrative EEO Records are kept in a Confidential File and are not part of your Application for Employment or Personnel file.
Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.