Professional Fee Surgical Audit (Lead Coder Specialist) - Remote
Are you a detail-oriented coding professional with a passion for accuracy and efficiency? Are you looking for a remote opportunity where you can utilize your skills in a dynamic and prestigious healthcare environment? Look no further than Cedars-Sinai Medical Center, where we are currently seeking a Professional Fee Surgical Audit Lead Coder Specialist to join our team. As a leader in the healthcare industry, Cedars-Sinai is committed to providing exceptional care to our patients and we need talented individuals like you to help us continue our mission. Join us in this remote role and make a difference in the world of medical coding.
- Conduct comprehensive surgical audits to ensure accuracy and compliance with coding guidelines and regulations.
- Serve as a subject matter expert on professional fee coding, including CPT, ICD-10, and HCPCS codes.
- Review and analyze surgical documentation to identify discrepancies and potential coding errors.
- Collaborate with physicians and other healthcare professionals to gather additional information and clarify coding issues.
- Provide guidance and education to coding team members on coding best practices and updates.
- Review and respond to coding inquiries and denials from insurance companies.
- Keep up-to-date with current coding guidelines and regulations to ensure accuracy and compliance.
- Identify opportunities for process improvement and efficiency within the coding department.
- Communicate audit findings and recommendations to management and assist in implementing necessary changes.
- Maintain confidentiality and adhere to HIPAA regulations in all aspects of coding and documentation.
- Participate in coding team meetings and trainings to stay informed on changes and updates in the field.
- Serve as a point of contact for coding-related questions and concerns from internal and external stakeholders.
- Utilize electronic health record systems and coding software to accurately assign codes and modifiers.
- Adhere to strict quality and productivity standards set by the organization.
- Act as a leader and mentor to junior coding staff, providing support and guidance as needed.
Extensive Coding Knowledge: The Lead Coder Specialist Must Possess A Thorough Understanding Of Current Coding Guidelines, Procedures, And Regulations Related To Professional Fee Surgical Services. This Includes An In-Depth Knowledge Of Cpt, Icd-10, And Hcpcs Coding Systems.
Strong Auditing Experience: The Ideal Candidate Should Have A Minimum Of 3-5 Years Of Experience In Conducting Professional Fee Surgical Audits. This Should Include Experience In Coding Audits, Documentation Audits, And Compliance Audits, Preferably In A Remote Setting.
Familiarity With Cms Regulations: The Lead Coder Specialist Must Have A Comprehensive Understanding Of Medicare And Medicaid Policies And Regulations Related To Professional Fee Surgical Services. This Includes Knowledge Of Local And National Coverage Determinations, As Well As Coding And Billing Guidelines.
Detail-Oriented And Analytical Skills: The Job Requires Strong Attention To Detail And The Ability To Analyze And Interpret Complex Coding And Documentation Data. The Ideal Candidate Should Have Excellent Problem-Solving Skills And Be Able To Identify And Address Coding And Documentation Errors.
Excellent Communication Skills: As A Remote Position, Effective Communication Is Crucial For The Lead Coder Specialist To Work Collaboratively With The Audit Team And Communicate Findings And Recommendations To Providers And Other Stakeholders. Strong Written And Verbal Communication Skills Are Essential For This Role.
Attention to detail
Compliance Knowledge
Medical Terminology
surgical procedures
Time
Cpt Coding
Medical Record Review
Audit Experience
Coding Proficiency
Icd-10 Coding
Coding Guidelines
Communication
Conflict Resolution
Emotional Intelligence
Leadership
Problem Solving
Time management
creativity
Critical thinking
Teamwork
Adaptability
According to JobzMall, the average salary range for a Professional Fee Surgical Audit (Lead Coder Specialist) - Remote in Los Angeles, CA, USA is $90,000-$120,000 per year. This may vary depending on the specific company and individual experience.
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Cedars-Sinai Medical Center is a non-profit, tertiary 886-bed hospital and multi-specialty academic health science center located in Beverly Grove in the Mid-City West area of Los Angeles, California.
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