MultiSpecialty Profee andor Facility Medical Coder

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

Job summary

Sutherland in Atlanta is seeking a skilled medical coder to analyze and interpret complex records, assign ICD-10 and CPT/HCPCS codes, and ensure accurate billing in compliance with payer guidelines.

You will review coding-related denials, provide recommendations, and collaborate with clinical and billing teams to optimize claim outcomes.

Qualifications

• 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).

Responsibilities

• Analyze and interpret complex records to identify and accurately bill for services with ICD-10 and CPT/HCPCS codes.
• Assign/sequencing billing codes in compliance with third party payor requirements and obtain clarification when documentation is conflicting or non-specific.
• Review coding-related denials from payors and make recommendations to resolve claims based on payer guidelines.

Skills

Analytical skills

Communication skills

Attention to detail

Research skills

Education

CPC

CCS

CCS-P

Job description

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
• Effective communication, 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.