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What will you be doing in this role?
In this remote role, under the 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-9, ICD-10, HCPCS, modifiers).
- Maintains familiarity with issues like HCFA 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 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.