Single Path Same Day Surgery Coder

Position Responsibilities

• Review outpatient same day surgery medical records and supporting documentation.
• Assign accurate ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, modifiers, and applicable facility coding elements for both professional and facility billing.
• Code a wide variety of orthopedic surgical procedures, including arthroscopy, joint procedures, spine, hand, foot and ankle, fracture repairs, and other musculoskeletal surgeries.
• Ensure accurate modifier assignment and compliance with National Correct Coding Initiative (NCCI) edits and payer guidelines.
• Review and reconcile charges to support complete and compliant charge capture.
• Identify documentation opportunities and communicate coding clarification needs when appropriate.
• Maintain established productivity and quality standards.
• Stay current with coding updates, payer policies, and regulatory changes impacting outpatient surgery services.

 Qualifications

• Minimum 3 years of recent Same Day Surgery coding experience.
• Extensive experience coding Orthopedic Surgery procedures.
• Experience coding both professional and facility services in a single-pathway workflow.
• Strong knowledge of:
• • ICD-10-CM
  • CPT/HCPCS
  • Modifier assignment
  • NCCI edits
  • OPPS/APC reimbursement methodologies

Required Systems Experience

• Epic
• 3M Encoder

Required Certifications

One or more of the following AHIMA/AAPC certifications is required:

• CCS
• CPC
• COC
• RHIA
• RHIT

Performance Expectations

• Coding Accuracy: 95% or greater
• Meets established productivity standards based on case complexity
• Timely completion of assigned work queues while maintaining quality expectations