Production Coding Specialist III - RCM

Overview This is a day shift position working remotely. This position requires 5+ years of experience with complex surgical CPT and ICD10, and requires 4+ years of anesthesia coding experience. This position requires additional complex coding including cardiac, critical care, transplant, and interventional radiology experience. Coder III's will often serve as a mentor for less experience coders and may be called upon to assist with training. This level of coder will also be a key resource to work cases that have been escalated for clarification by coders, and may interact with clinicians on documentation deficiencies, as well working with other departments, including Quality and Education, RCM, and vendor coding teams. Coders are required to abstract medical records documentation into surgical CPT and crosswalk to the appropriate ASA codes, in addition to having a high level of competence in ICD10 coding and coding guidelines. Coders are required to abstract data into the MD Cloud Practice Solutions platform, and may also work with other charge capture platforms, including Medaxion, PC7, as well as multiple facility EMR's based on assigned location. Working knowledge of Athena IDX for edits, denials, manual tasks, and charge corrections. Experience coding for physicians, CRNA, CAA, NP, SRNA, and residents required. NCCI bundling, experience with LCD/NCD, and a strong understanding of CMS guidelines for coding required. Must be able to code all elements included in anesthesia with proficiency, including time, medical direction, and care team nuances. At this time, US Anesthesia Partners does not hire candidates residing in California, Hawaii, or Alaska. The base pay estimate for this role is $21.97 - $35.14 hourly. The final offer will depend on the skills, experience, and qualifications of the selected candidate. This range is for base pay only and does not include bonuses or other compensation. This position is eligible for a quarterly bonus. Bonuses are not guaranteed and are awarded based on company and individual performance. Job HighlightsESSENTIAL DUTIES AND RESPONSIBILITIES: (The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation) Reviews documentation for appropriate required elements, such as attestations, signatures, dates, and other medical record documentation requirements. Abstracts and codes surgical procedures from all sections of CPT and cross walk surgical codes to ASA. May code more complex anesthesia cases. Applies appropriate modifiers. Codes ICD10. Abstracts anesthesia times and events. Identifies and assigns care team providers. Reviews for medical direction. Meets team KPIs including daily production and quarterly coding audit score requirements. Works cases that have been escalated by coding staff and provides feedback on escalated cases. Provides required reports for management as requested. Works complex edits and denials, including concurrency and provider time conflicts. Identifies and reports trends. Performs other duties as assigned. Adheres to all company policies and procedures - especially HIPAA and confidentiality. QualificationsKNOWLEDGE/SKILLS/ABILITIES (KSAs): Highschool graduate or equivalent. 5+ years of complex surgical coding across all specialties, 4+ years of anesthesia coding, and 5+ years of experience in anesthesia. Current CPC required, CANPC a plus. Experience with multiple EMR's and documentation types and templates, including handwritten paper documentation, and electronic medical records. Extensive knowledge and working experience with Microsoft Word, Excel, and Adobe PDF. Intermediate Outlook skills. Ten key proficiencies. High proficiency in communicating well with all levels of USAP employees. Excellent organizational and time management skills required to complete daily assignments in a timely manner. Ability to read, write, and speak English. Excellent computer skills. Ability to work independently. Ability to self-motivate new projects. *The pysical demands described here are representative of those that may need to be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Occasional Standing Occasional Walking Frequent Sitting Frequent hand, finger movement Use office equipment (in office or remote) Communicate verbally and in writing US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors. US Anesthesia Partners