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3 days ago
The same day surgery coder plays a crucial role in accurately coding surgical procedures performed on the same day as the patient's admission. This position ensures compliance with coding guidelines and regulations while maintaining the highest standards of accuracy and efficiency.
Key Responsibilities:- Review medical records, operative reports, and other documentation to ensure accurate coding of procedures and diagnoses.
- Assign ICD-10, CPT, and HCPCS codes for same day surgeries according to coding guidelines and payer requirements.
- Collaborate with clinical staff to clarify documentation when necessary to ensure completeness and accuracy.
- Stay up-to-date on changes in coding standards, regulations, and best practices to maintain compliance and enhance coding accuracy.
- Provide education and support to clinical staff regarding proper documentation practices and coding requirements.
- Assist in the preparation of reports related to coding accuracy, productivity, and compliance.
- Bachelor's degree in health information management or a related field is preferred.
- Certification as a CPC (Certified Professional Coder), CCS (Certified Coding Specialist), or similar credential is preferred.
- Minimum 4 years of experience in medical coding, with specific experience in same day surgery coding is preferred.
- Strong knowledge of medical terminology, anatomy, and surgical procedures is required.
- Proficient in coding software and electronic health record systems.
- Excellent communication and interpersonal skills are essential.
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