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Surgery Coder

Surgery Coder

FirstsourceIndia
11 hours ago
Job description

Role & responsibilities

  • Assign Procedure Codes

Analyze operative reports and surgical note documentation to accurately assign CPT, HCPCS, ICD10CM, and inpatient ICD10PCS codes (with modifiers) to ensure compliant and optimized billing MedEvolve+15The College of Health Care

  • Review and Audit Documentation
  • Audit surgeon notes and supporting clinical records for completeness, specificity, and alignment with coding standards, resolving coding gaps and ensuring accurate reimbursement

  • Claims Preparation & Submission
  • Integrate surgical charge capture into claims, verify pre-authorizations and insurance eligibility, then submit claims following RCM protocols to support revenue maximization The College of Health Care Professions.

  • Denial Management & Reconciliation
  • Monitor claim rejections / denials, perform root-cause analysis, correct coding issues, resubmit claims, and reconcile payments to maintain clean accounts receivable PMC+11

  • Provider & Team Collaboration
  • Work closely with surgeons, clinical staff, and RCM / billing teams to clarify documentation, drive clinical documentation improvement (CDI), and stay up-to-date on coding rules and payer guidelines

  • Reporting & Quality Assurance
  • Maintain productivity and quality standards with coding benchmarks, track KPIs (e.g. error rates, turnaround times), participate in audits, and produce reports to inform revenue cycle optimization

    Preferred candidate profile

  • Hands-on surgical coding expertise
  • At least 24 years of experience accurately coding surgical cases (inpatient and / or outpatient), using CPT, ICD10CM, ICD10PCS, HCPCS, and applying appropriate modifiers.
  • Demonstrated track record of 95% accuracy and coded volume consistent with productivity benchmarks
  • Certified and thorough knowledge of coding guidelines
  • Holds CPC and / or CCS credential (AAPC or AHIMA), with specialty coding certifications (e.g., CPMA, CIRCC) considered a plus
  • Strong familiarity with payer-specific rules (e.g. CMS, Medicare / Medicaid), denial management processes, clinical documentation improvement, and regulatory compliance
  • Analytical, collaborative, and tech-savvy
  • Demonstrated analytical skills : ability to audit documentation, identify coding inconsistencies, perform root-cause denial analysis, and recommend process / coding improvements
  • Effective communicator, adept at querying providers for documentation clarification, and comfortable using EHR / encoder tools (e.g., Epic) and RCM workflows
  • Interested candidates can share their resume to / Mobile No

    Disclaimer : Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or email address.

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