PROFESSIONAL CODER III, REVENUE CYCLE MEDICAL GROUP

SGMC Health; Valdosta (GA); On-site; USD 48,000 - 62,000; Full time

Job summary

SGMC Health in Valdosta, GA is seeking a qualified Medical Coder to abstract ICD-10 and CPT codes for professional services within the Revenue Cycle Medical Group. You will mentor junior coders, review medical records for accuracy, and ensure compliance with coding guidelines.

The role requires CPC or CCS/CCS-P certification and experience in multispecialty coding, with strong communication skills and proficiency in Microsoft Office.

Qualifications

• CPC certification or CCS/CCS-P required or equivalent credential.
• Minimum coding experience in a medical setting is required.
• Proficiency in multispecialty E/M and bedside procedure coding.
• Experience in a physician office setting is preferred.

Responsibilities

• Abstract ICD-10 and CPT codes for professional services.
• Mentor Professional Coders I and II.
• Review and analyze medical records for diagnosis, evaluation and management, minor procedures, or other codes for accuracy.
• Research coding guidelines and report issues to management to ensure proper coding practices.
• Maintain communication with Management, Practice Manager, and Provider for timely notification of documentation issues.
• Provide continuing education to clinical staff and providers.
• Meet deadlines and stay highly organized in a fast-paced environment.
• Maintain an accuracy score of 95%+ for CPT and ICD-10 coding.
• Adhere to regulatory compliance and IT security policies for remote access where applicable.

Skills

Attention to detail

Time management

Communication skills

MS Office (Excel/Teams)

Education

High School diploma or equivalent

CPC certification or CCS/CCS-P

Tools

Microsoft Office

Job description

WHAT IT'S LIKE AT SGMC HEALTH

Description

WHAT IT'S LIKE AT SGMC HEALTH

Purpose

No matter your role or area that you work in, at SGMC Health we are collectively working towards goals that will make our community a better place.

Excellence

We strive to do the right thing the right way, are accountable in all we do, require competence of our people, and are compassionate in our service.

Team Spirit.

We encourage team effort, support personal and professional development, acknowledge individual talents and skills, and support innovation and empowerment.

Award Winning Performance.

We are committed to providing the best care possible and we are proud to be recognized locally, statewide, and nationally for the exceptional care that our staff provides.

WHY YOU WILL LOVE SGMC HEALTH

SGMC has great benefit options, depending on the role that you are going into– including healthcare, supplementary benefits, ways to save for the future, opportunities for career advancement, and opportunities to expand your skill set. Some of these great benefit options are listed below:

• Low Healthcare Insurance Premiums
• 401(k) with employer match
• Paid Time Off (PTO)
• Employee discounts
• Company paid life insurance
• Short-Term and Long-Term Disability
• Cancer Insurance
• Accident Insurance
• Pet Insurance
• Tuition Reimbursement
• On-the-job training and skills development
• Opportunities for growth and advancement
• Employee Assistance Program

JOB LOCATION :

SGMC Patient Financial Services

DEPARTMENT:

REVENUE CYCLE MEDICAL GROUP

SCHEDULE:

Full Time, 8 HR Day Shift, 8-5

Position Summary

Abstracts ICD-10 and CPT codes for Diagnosis and Procedures for professional services. Serves as a mentor to Professional Coders I and Professional Coder II. Reviews and analyzes medical records verifying and coding the diagnosis, evaluation and management service, minor procedures, or other codes required for the completeness and accuracy of the record. Additionally, will code and/or review principal diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, any applicable supply, medication, and injectable drugs. Research coding guidelines and report to management any material to ensure accurate coding practices. Maintains communication with Management, Practice Manager, and Provider to ensure timely notification of identified documentation issues. Interacts with other team members of the revenue cycle and provider clinics. Responsible for continuing education of all clinical staff members and providers. Must have highly effective and professional written and verbal communication skills.Knowledge of legal, regulatory and policy compliance issues regarding medical coding, billing, and documentation. Maintains an accuracy score of 95% or higher for CPT and ICD-10 coding. Responsible for attending all mandatory education sessions and continuing education credits required to maintain CPC certification. Must be able to meet competing deadlines, be highly organized, goal driven, and work well with others.

Knowledge, Skills & Abilities

• Certified Professional Coder (CPC) required or Certified Coding Specialist (CCS, CCS-P).
• Previous coding experience required.
• Specialty certification through AAPC or Ahima highly desired.
• Proficiency in multispecialty E/M and bedside procedure coding required.
• Proficiency in at least 1 specialty surgical coding required, (multispecialty surgical coding is desired).
• Experience working in a physician office preferred.
• High School graduate or equivalent.
• Knowledge of anatomy and physiology, medical terminology, ICD-10, HCPCS, and CPT required.
• Good communication skills essential.
• Medical Office setting experience preferred.
• Time management skills.
• Demonstrates initiative to provide quality of services and improve efficiencies.
• Proficient in Microsoft Office, especially Excel and Teams.

WORKING CONDITIONS - ADA INFORMATION

Coder may spend long hours working at computer terminal. Must be able to see and read names, numbers, and colors. The Coder is subject to high stress levels. The coder must have and maintain reliable high-speed internet and is able to agree to organizations IT Security policies for remote access work.

See What All Of The Hype Is About

https://www.youtube.com/watch?v=_DeqKw8xk54