Same Day Surgery Coder

Job Description :

Review same-day surgery (SDS) medical records and accurately assign ICD-10-CM, HCPCS, and CPT codes for diagnoses and procedures.

Ensure proper sequencing of codes in line with official coding and reporting guidelines.

Apply appropriate Level I and Level II modifiers with precision.

Possess strong expertise in coding for Ambulatory Surgery cases, including observation cases, GI procedures, laparoscopic surgeries, orthopedic surgeries, and other outpatient services.

Have prior experience working with observation cases.

Demonstrate a solid understanding of medical necessity requirements, as well as APC and OPPS guidelines for claims processing.

Follow coding clinic and CPT Assistant guidance to ensure compliant coding practices.

Monitor account statuses regularly, especially those on hold, and follow up with team leads as necessary.

Proficient in using 3M coding tools and abstracting software such as Epic and Optum ECAC.