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MEDICAL CODER/SURGICAL ABSTRACTOR

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Posting Details

Posting Details

Position Title MEDICAL CODER/SURGICAL ABSTRACTOR
Job Category Clerical
Posting Number 20172515
Position Status Active-Full-Time
Positions Supervised
Customer Service Statement

CUSTOMER SERVICE: Demonstrate adherence to the Group’s Customer Service Standards designed to support the mission of USF Health: enhancing life by improving health through research, education and healthcare. Our commitment is to improve the full spectrum of health, from the environment, to the community, to the individual. Together, through talent and innovation, USF Health is developing real-world solutions to reach our shared value – making life better.

Position Summary

Responsible for obtaining, reviewing for compliance and coding by the most recent guidelines all hospital (inpatient, outpatient and ASC) procedures, tests and evaluation and management services for the departments assigned.

Position Requirements

EDUCATION: High school diploma or equivalent

EXPERIENCE: Certified Professional Coder through AAPC and/or AHIMA. Minimum of one year experience in coding professional services.

SKILLS: Knowledge of commercial insurance and other third party payer regulations. Knowledge of ICD-9, Medical Terminology and CPT coding systems. Excellent communication skills with the ability to work with the physicians with questions or issues. Professional appearance and demeanor at all times. Excellent follow-up skills and ability to adhere to deadlines.

PREFERRED
ATTRIBUTES: Surgical procedure coding experience.

Customer Service Performance

CUSTOMER SERVICE PERFORMANCE EXPECTATIONS: Courteous and helpful behavior towards patients, physicians, coworkers and external customers; professional and efficient verbal and written communications; accomplishing tasks through teamwork and initiative; and ensuring a timely and thorough response to complaints and/or critiques, and anticipating the needs of all you come in contact with.

Physical Demands
Special Instructions to Applicants
Location 17 DAVIS-DAVIS ISLAN
Department Name REV CYCLE OPERATIONS
Work Schedule Summary

Specific Duties and Responsibilities

Percentage 70
Duties

• Codes complex surgical procedures to maximize reimbursement in a timely manner using CPT and HCPCS modifiers plus all CPT, ICD-9 and HCPCS codes.
• Abstract, interpret and analyze documentation to ensure coding appropriately reflects the documented service meets compliance guidelines.
• Coding includes abstracting surgical notes for assigned specialty(s).
• Know and apply all respective coding rules for services rendered, to include application of modifiers, diagnosis/procedure relationship, correct coding initiative, non-physician provider requirements.
• Apply specific rules as needed for various third party carriers.
• Interact with physicians to verify that coding captures services provided in addition to compliance requirements.

Percentage 13
Duties

• Assist with pre-authorizations and any questions from the financial specialists with regards to ASC and physician charges.

Percentage 10
Duties

• Prepare batches and enter charges into the billing system according to UMSA Revenue Cycle Operations requirements.

Percentage 2
Duties

• Train and provide cross training to other coding personnel within the department as directed by manager.

Percentage 2
Duties

• Analyze and resolve TES Workfile Edits within designated time frame.
• When appropriate, discuss errors with management personnel to ensure documentation and/or codes are accurate.

Percentage 2
Duties

• Attend seminars and keep abreast of coding rules and compliance requirements.

Percentage 1
Duties

• Other duties as assigned.

Posting Specific Questions

Required fields are indicated with an asterisk (*).

  1. * Do you have a High School Diploma or Equivalent?
    • Yes
    • No
  2. * Are you a Certified Professional Coder through AAPC and/or AHIMA?
    • Yes
    • No

Applicant Documents

Required Documents
  1. Resume
  2. License and Certification
Optional Documents
  1. Cover Letter
  2. Letter of Recommendation 1
  3. Letter of Recommendation 2
  4. Letter of Recommendation 3