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Cedars-Sinai Ortho/ENT Coder Specialist II - Physician Billing in Torrance, California

The Orthopedic/ENT Coder

Specialist II in Physician Billing:

•Performs accurate and timely coding (CPT, ICD-9, ICD-10,

HCPCS, modifiers).

•Maintains familiarity 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 complex surgical coding.

•Attends seminars and workshops, as applicable, for updates

on new CPT codes, coding rules and regulations.

•Elevates issues, as appropriate, to the Coding Supervisor

and Manager.

•Meets productivity and quality standards: 4 to 6 cases per

hour with a 95% accuracy rate for CPT and ICD-10 coding.

•Understands coding trends to include NCD, LCD, and CMS

guidelines.

•Identifies trends and issues with overall division and

individual physician coding practices and proposes solutions.

•Maintains confidentiality of patient care and business

matters. Maintains strict patient information confidentiality following HIPPA

rules and guidelines and reports any violations to management.

Educational

Requirements:

High school required.

License/Certification/Registration

Requirements:

Certified Procedural

Coder (CPC) required. Prefer COSC or CGSC.

Experience:

•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.

•Orthopedic

surgical coding experience and general surgery or ENT a plus.

•Extensive

knowledge of coding surgical procedures and applicable modifiers in

multi-specialty setting.

•Understands and

applies appropriate teaching physician guidelines to coding.

•Understanding of

Windows based applications (i.e. Word, Excel and Outlook)

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.

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