[Hiring] SDS Facility Coder @Infinx

Role Description

Under direction from the Coding Manager, the Outpatient Facility Coder will be responsible for improving charge capture accuracy through workflow assessments, coding reviews, process improvement, education, collaboration, and reporting specific to same day surgery.

• A certification is required from AHIMA or AAPC.
• Work directly with coding leadership team to review incoming hospital diagnostic charges.
• Support clinical documentation and improve charge capture accuracy.
• Monitor and analyze coding performance at the section and business unit levels.
• Ensure coding is on par with Medicare norms and standards.
• Support education, documentation principles, clean claims, and denial prevention.

Daily Responsibilities

• Comply with all legal requirements regarding coding procedures and practices.
• Conduct audits and coding reviews to ensure all documentation is precise and accurate.
• Assign and sequence all CPT, ICD, and DX codes for services rendered.
• Collaborate with billing department to ensure all bills are satisfied in a timely manner.
• Communicate with insurance companies about coding errors and disputes.
• Review coding data for analysis and research associated with billing appeals and denials.
• Contact physicians and other health care professionals with questions about treatments or diagnostic tests given to patients regarding coding procedures.
• Serve as the liaison between revenue cycle operations and clients as it relates to charge capture documentation and reconciliation.
• Possess a clear understanding of the physician revenue cycle.
• Oversee, understand, and communicate coding and charging processes for each client account based on their existing EHR system.
• Analyze and communicate denial trends to Clients and operational leaders.

Qualifications

• High School Diploma or equivalent.
• Bachelor's degree preferred.
• Medical Billing/Coding Diploma or Certificate.
• Coding certification through AAPC or AHIMA that relates to Facility, Outpatient, or Ancillary coding.
• 2+ years of SDS medical coding experience.
• 2+ years of medical coding auditing or chart review experience preferred.
• Proficiency in outpatient coding and billing procedures.
• Experience with Ambulatory Payment Classification (APC) coding.
• Ability to work under limited supervision with ability to understand and meet deadlines as workload necessitates.
• Advanced knowledge in coding, auditing, and documentation guidelines.
• Ability to meet department productivity standards.
• Demonstrate flexible and efficient time management and ability to prioritize workload.
• Excellent typing and 10-key speed and accuracy.
• Excellent communication skills (written and verbal) and strong organizational skills.

Benefits

• Access to a 401(k) Retirement Savings Plan.
• Comprehensive Medical, Dental, and Vision Coverage.
• Paid Time Off.
• Paid Holidays.
• Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services.