Coder II (Remote) Job 2024 Full Time

Align yourself with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation’s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company’s Workplace of the Year. We provide an outstanding benefit package that includes healthcare, paid time off and a 403(b). Join us! Discover why U.S. News & World Report has named us one of America’s Best Hospitals.

What will you be doing in this role:

Under general direction of the Coding Supervisor, (using knowledge of CSMC and Official Coding guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented treatment and procedures performed at CSMC and Cedars-Sinai Affiliates and their locations) assigns ICD-10-CM and CPT codes for patients receiving services at CSMC. Accurately assigns all applicable modifiers for all patients to assure optimal reimbursement and the highest quality data possible Duties of this Coder II include:

• Performs accurate and timely coding (CPT, ICD-10, HCPCS, modifiers).
• Maintains familiarity with issues like 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 coding rules and regulations.
• Elevates issues, as appropriate, to the Coding Supervisor and Manager.
• Meets productivity and quality standards as designated by Coding Supervisor and Manager.
• 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.

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Requirements:

• Certified Procedural Coder (CPC) required.
• Certified Surgical Specialty Credentials (CGSC or others) preferred.
• High school diploma or GED required.

Experience we are Seeking:

• Minimum of 3 years of professional or facility fee coding experience.
• Familiarity with ICD-10-CM, CPT-4 coding and payment methodologies.
• Working knowledge of all California and National reporting requirements.