
Surgical Coding Specialist
2 days ago
Surgery Coding:
- Assign accurate ICD-10-CM and CPT codes for multi-specialty surgical procedures.
- Apply modifiers, ensure correct sequencing, and adhere to NCCI edits.
- Review operative reports and apply appropriate global periods and surgical packages.
- Ensure coding is compliant with CMS, AHA Coding Clinic, and relevant policies.
IPDRG Coding:
- Review inpatient medical records, assign ICD-10-CM & ICD-10-PCS codes.
- Assign MS-DRGs or APR-DRGs using encoder tools.
- Validate principal diagnosis, secondary conditions, POA indicators, and procedures.
- Ensure documentation supports the assigned DRG and meets coding guidelines.
Qualifications:
- Education: Degree in Life Sciences / Paramedical / Nursing / Allied Health.
- Certifications: CPC, CCS, CIC (AHIMA or AAPC) – Mandatory.
- Experience:
- 2–6 years in Surgical and/or Inpatient DRG coding.
- Experience with 3M Encoder, Optum CAC, EPIC, Cerner (preferred).
- Expert in ICD-10-CM, ICD-10-PCS, CPT, and HCPCS.
- Strong knowledge of DRG grouping methodologies (MS-DRG/APR-DRG).
- Familiarity with coding guidelines, MCE edits, and query processes.
- Attention to detail and ability to handle complex cases with minimal supervision.
- Strong analytical, communication, and documentation skills.
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