Senior Surgical & Facility Medical Coder

Default Brand; United States; On-site; USD 60,000 - 90,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Disability Insurance

Life Insurance

PTO

401(k) and Profit Sharing

Job summary

OSS Health is seeking an Advanced Coding Specialist to join the Coding Department within Revenue Cycle Management. You will code physician and facility services for hospital, ASC, ED consults, hospitalist services and offsite care, adhering to payer policies and federal regulations.

The role requires 1 year of surgical coding experience, active CPC or CCS certification, and advanced coding certifications. Monday–Friday 8am–4:30pm with comprehensive benefits.

Qualifications

• High school diploma or equivalent.
• Active AAPC CPC or AHIMA CCS certification.
• Active advanced specialty certification (e.g. COC, CIC, COSC, CASCC, CANPC, CDEO, CDEI, CGSC, CIRCC).
• Minimum of 1 year hands-on surgical coding experience and facility-based billing.
• Strong understanding of CPT, HCPCS Level II, Anesthesia coding, and ICD-10-CM.
• Knowledge of coding in surgical practices, ambulatory surgery centers, and inpatient/outpatient hospital settings.
• Strong understanding of NCCI edits, medical necessity requirements and bundling guidelines.
• Advanced analytical and problem-solving skills.
• Ability to work independently.
• High-level knowledge of general surgery-related medical terminology, anatomy, and pathophysiology.
• Fluent written and spoken English required.

Responsibilities

• Examine operative reports, anesthesia records, and surgical findings to extract codes.
• Ensure coding compliance with federal regulations, payer policies, HIPAA.
• Identify and resolve documentation deficiencies; communicate with providers for clarification.
• Validate surgical requirements are met within clinical and financial records.
• Utilize coding software, encoder and other resources provided.
• Stay current on coding updates, payer guidelines, and healthcare regulations.
• Support overall revenue cycle efficiency.
• Maintain productivity goals set by department.
• Assist with E/M coding as needed.
• Other duties as assigned.

Job description

OSS Health is seeking an Advanced Coding Specialist to join the Coding Department within Revenue Cycle Management. You will code physician and facility services for hospital, ASC, ED consults, hospitalist services and offsite care, adhering to payer policies and federal regulations.

The role requires 1 year of surgical coding experience, active CPC or CCS certification, and advanced coding certifications. Monday–Friday 8am–4:30pm with comprehensive benefits.