Professional Surgical Coder (On-Site/Hybrid/Remote)

NorthBay Healthcare Group; Fairfield (CA); Remote; USD 85,000 - 120,000; Full time

Job summary

NorthBay Healthcare Group is seeking a Professional Surgical Coder who will translate procedures and diagnoses into ICD-10-CM, CPT, and HCPCS codes for professional charges in outpatient and inpatient settings.

The role requires five+ years of pro-fee coding experience, including surgical coding, EMR/encoder familiarity, and strong knowledge of coding guidelines and reimbursement methodologies. Remote work is supported with strict productivity expectations.

Qualifications

• Five or more years of professional fee coding experience.
• Experience in surgical coding in inpatient and outpatient settings.
• EMR/encoder system experience required.
• Strong knowledge of ICD-10-CM, CPT, HCPCS and Medicare guidelines.

Responsibilities

• Translate procedures and diagnoses into ICD-10-CM, CPT and HCPCS codes accurately.
• Communicate with providers to query and educate on coding requirements.
• Ensure coding aligns with AAPC/AMA guidelines and hospital policies.
• Support remote work while meeting productivity metrics.

Skills

Metrics-driven

Tech savvy

Remote work

Deadline-driven

Independent worker

Education

High School diploma

College coursework

Certified Professional Coder (CPC)

Certified Coding Specialist (CCS)

CCS-P

Tools

EMR system

Encoder system

Cerner

Job description

Professional Surgical CoderAt Northbay, the Professional Surgical Coder will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner for professional surgery charges in the outpatient and inpatient settings. The coder is dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system. Can effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements. Work is performed using the approved classification Coding systems to include the modifiers. All work carried out in accordance with the rules, regulations and coding conventions of the AAPC/AMA CPT Guidelines, AAPC/AMA. American Hospital Association (Coding Clinic), ICD 10-CM CMS, HCAI, and Northbay Healthcare coding guidelines.

Education

• High School Graduate or equivalent preferred. College coursework a plus

Licensure

• Certified Professional Coder (CPC), Certified Coding Specialist (CCS),or Certified Coding Specialist – Physician (CCS-P)

Experience

• Five or more years of experience in professional fee coding required including surgical coding in both inpatient and outpatient settings.Some leadership experience preferred, but not required.
• EMR Medical records experience is required. Experience with an encoder system preferred.
• Comprehensive knowledge and application of profee surgical guidelines including appropriate coding of assistants and co-surgeons
• Demonstrated knowledge of anatomy and physiology, medical terminology, disease process, reimbursement methodologies (DRGs, HCCs, APCs), and the conventions, rules and guidelines for current coding classification (ICD10-CM, CPT and HCPCS).
• Demonstrated understanding of the clinical content of a health record.
• Knowledge of and experience with PC's, Cerner, and/or computer systems and programs highly desired.
• Microsoft Office: Email, Word, Excel.
• Has a comprehensive understanding of insurance requirements and compliance guidelines for Medicare, PHP, WHA and Medi-Cal, Worker's Compensation, Commercial Insurances.

Skills

• Ability and desire to hit metrics upon training (idle time is also monitored on this hourly paid position)
• Technically savvy (ability to learn software and troubleshoot equipment as needed)
• Ability and self-discipline to be able to work remotely.
• Ability to withstand the pressure of continual deadlines and receipt of work with variable requirements.
• The ability to work independently as well as in a team environment.

Interpersonal Skills

• Demonstrates the True North values. The True North values are a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at NorthBay Health. The True North values principles consist of Nurture/Care, Own It, Respect Relationships, Build Trust and Hardwire Excellence.

Hours of Work

• Full Time Days Monday through Friday as assigned. Timing may also be at discretion of leadership based on business need.

Other Requirements

• Must have a private, distraction-free area in your home for work (HIPAA reasons)Web-cam training will be used frequently for team engagement.
• Internet Requirements: Must have high speed internet. Please test your internet prior to applying to make sure you are over 125 mbps download speed or be willing to upgrade upon an offer.