Vascular Surgery Coder - Remote

Guidehouse; United States; Remote; USD 65,000 - 108,000; Full time

Benefits offered by this job

Medical, Rx, Dental & Vision Insurance

Paid Holidays

401(k) Plan

Life Insurance

Disability Insurance

Tuition Reimbursement

Learning Opportunities

Employee Referral Program

Corporate Sponsored Events & Community

Emergency Back-Up Childcare

Job summary

Guidehouse is seeking a Vascular Surgery Coder for full-time remote work. You will apply ICD-10-CM and CPT/HCPCS coding to trauma surgery cases, review documentation, and ensure compliance with AMA CPT rules and CMS guidelines. Independent work style and strong Excel/EMR skills are essential for accurate, timely coding.

Salary ranges from $65,000 to $108,000 annually, with comprehensive benefits and opportunities for professional development within Guidehouse.

Qualifications

• High School Diploma or equivalent required.
• 5+ years of medical coding experience.
• 3+ years vascular surgery coding experience (IP and OP).
• CPC certification from AAPC required.
• EMR experience required.
• Credential maintenance required throughout employment.
• Ability to work independently and multi-task.
• Excellent verbal and written communication skills.
• Advanced knowledge of Excel, Word and PowerPoint.
• Strong knowledge of Federal and State coding regulations.

Responsibilities

• Perform quality surgical coding on General and Trauma surgery charts.
• Maintain knowledge of ICD-10, CPT, and regulatory guidelines.
• Code services with accurate ICD-10 and CPT codes and resolve documentation gaps.
• Aim for 95% accuracy with high productivity in monthly reviews.
• Handle review queue daily and communicate corrections as needed.
• Process re-bills and notify facilities per policy.
• Report downtime to ensure turnaround times are met.
• Collaborate with IQC staff to ensure quality standards.
• Answer physicians/hospital questions within eight hours of request.
• Code/pending each chart within 24 hours; notify if unable to meet SLA.
• Monitor inbox every two hours during coding sessions.
• Maintain HIPAA-compliant workstations and adhere to policy manuals.
• Work with team to maximize reimbursement for properly documented services.
• Escalate coding principal discrepancies to supervisor promptly.

Skills

Medical coding

Vascular Surgery coding

EMR experience

Communication

Excel/Office tools

Education

High School Diploma or equivalent

CPC certification from AAPC

Tools

EMR systems

Excel

Word

PowerPoint

Job description

Job Family:

General Coding

Travel Required:

None

Clearance Required:

None

What You Will Do:

The Vascular Surgery Coder must be proficient in surgical coding for all Trauma Surgery type cases. E/M experience is also required for associated providers. The coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager, the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding related denials from payers and recommending the appropriate action to resolve the claim based on payer guidelines. This position is full time as and 100% remote.

Responsibilities:

• Demonstrates the ability to perform quality surgical coding on General and Trauma surgery chart types as assigned.
• Maintains a working knowledge of ICD-10 and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing.
• Assures that all services documented in the patient’s chart are coded with appropriate ICD-10 and CPT codes. When services/diagnoses are not documented appropriately, seeks to attain proper documentation in a timely manner according to facility standards.
• Achieves and maintains 95% accuracy in coding while maintaining a high level of productivity. Accuracy will be monitored during monthly reviews within the facility.
• Works the review queue daily to ensure all charts that are placed in the review queue are worked and any corrections are communicated to the facility if necessary.
• Charts that require re-bills are corrected and communicated to the facility daily for the re-bill process. See re-bill policy in facility guidelines.
• Coder downtime must be reported immediately to the administrative staff to ensure turnaround is met.
• Responsible for working directly with the IQC staff to ensure quality standards are being met for each facility.
• Provides accurate answers to physician’s/hospitals coding and/or billing questions within eight hours of request.
• Responsible for coding or pending every chart placed in their queue within 24 hours.
• It is the responsibility of the coder to notify administrative staff in the event they cannot meet the twenty-four hour turn around standard.
• Coders are responsible for checking the Guidehouse email system at least every two hours during coding session.
• Coders must maintain their current professional credentials while working for Guidehouse.
• Coders are responsible for becoming familiar with the Guidehouse coding website and using the information contained in the website as a daily tool to correctly code and abstract for each facility.
• Coders are responsible for maintaining HIPAA compliant workstations (reference HIPAA workstation policy).
• It is the responsibility of each coder to review and adhere to the coding division policy and procedure manual content.
• Works well with other members of the facilities coding and billing team to insure maximum efficiency and reimbursement for properly documented services.
• Communicates problems or coding principal discrepancies to their supervisor immediately.
• Communication in emails should always be professional (reference e-mail policy).

What You Will Need:

• High School Diploma or equivalent
• 5+ years of experience in medical coding
• 3+ years Vascular Surgery Coding experience, both IP and OP coding for physician claims.
• CPC certification from AAPC
• EMR experience
• Must maintain credential throughout employment
• Must be able to work independently, multi-task well and interface with all levels of personnel as well as clients
• Excellent verbal, written and interpersonal communication skills
• Advanced knowledge of Excel, Word and PowerPoint
• High level of accuracy
• Strong Working Knowledge & experience with Federal & State Coding regulations and Guidelines

What Would Be Nice To Have:

• CCVT and/or CIRCC credential from AAPC
• Multiple EMR and/or Practice Management systems experience

The annual salary range for this position is $65,000.00-$108,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance
• Personal and Family Sick Time & Company Paid Holidays
• Position may be eligible for a discretionary variable incentive bonus
• Parental Leave
• 401(k) Retirement Plan
• Basic Life & Supplemental Life
• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
• Short-Term & Long-Term Disability
• Tuition Reimbursement, Personal Development & Learning Opportunities
• Skills Development & Certifications
• Employee Referral ProgramCorporate Sponsored Events & Community Outreach
• Emergency Back-Up Childcare Program

About Guidehouse:

Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at [e-mail]. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or [e-mail]. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse.