Cedars-Sinai Coder Specialist II - Physician Billing Office in Torrance, California
The Coder Specialist II is responsible for appropriately abstracting and coding procedures, surgeries, and evaluation and management visits for assigned specialties. In addition, the Coder Specialist II may require training of other coding, billing and physician staff.
Job Duties and Responsibilities:
Performs accurate and timely coding (CPT, ICD-9, ICD-10, HCPCS, modifiers).
Maintains knowledge with such issues as HCFA coding regulations, Medicare rules, visits and procedures on the same day, consultation vs. referral, surgeries, etc.
Understands and implements coding guidelines for multi-specialty surgical practices and/or sophisticated surgical coding.
Is present in seminars and workshops, as applicable, for updates on new coding rules and regulations.
Elevates issues, as appropriate, to the Coding Supervisor and Manager.
Meets efficiency and quality standards.
Understands coding trends to include NCD, LCD, and CMS guidelines.
Identifies trends and issues with overall division and individual physician coding practices and presents solutions.
Maintains confidentiality of patient care and business matters.
Follows policies and procedures pertinent to the coding and compliance departments.
Performs other duties as assigned.
High school diploma or GED required.
Certified Professional Coder (CPC) required.
Three (3) years minimum surgical coding experience in coding unit, preferably physician or medical group in multi-specialty surgical practices (i.e., Cardiothoracic Surgery, Neurosurgery, General Surgery, Orthopedics, etc.).
Extensive knowledge of coding surgical procedures and applicable modifiers in multi-specialty setting.
Understands and applies appropriate teaching physician guidelines to coding.
Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.