At SGMC Health, employees work collectively towards goals that improve the community. The organization values excellence, accountability, competence, compassion, team spirit, and innovation. SGMC Health offers benefits including low healthcare insurance premiums, 401(k) with employer match, paid time off, employee discounts, company-paid life insurance, disability insurance, cancer and accident insurance, pet insurance, tuition reimbursement, on-the-job training, career advancement opportunities, and employee assistance programs.
The position is based at SGMC Patient Financial Services in the Revenue Cycle Medical Group department. It is a full-time role with an 8-hour day shift from 8 AM to 5 PM.
The Professional Coder II abstracts ICD-10 and CPT codes for diagnosis and procedures related to professional services. Responsibilities include reviewing and analyzing medical records to verify and code diagnoses, evaluation and management services, minor procedures, and other necessary codes. The coder also codes or reviews principal diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, medications, and injectable drugs.
Maintaining communication with management, practice managers, and providers to address documentation issues is essential. The role involves interaction with revenue cycle team members, provider clinics, and billing staff to assist with coding, documentation, denials, and billing inquiries. The coder must achieve and maintain an accuracy score of 95% or higher for CPT and ICD-10 coding and attend all mandatory and continuing education sessions for CPC certification.
Additional duties include assisting in the review and appeal process of denied professional services. The role requires meeting deadlines, high organization, goal orientation, and teamwork.
Working conditions include long hours at a computer terminal, ability to see names, numbers, and colors, handling high stress levels, and having reliable high-speed internet for remote access while complying with IT security policies.
Certified Professional Coder (CPC) or Certified Coding Specialist (CCS, CCS-P) required. Previous coding experience is mandatory. Experience coding in three or more specialties is preferred. Experience working in a physician's office is preferred. High school diploma or equivalent. Knowledge of anatomy and physiology, medical terminology, ICD-10, HCPCS, and CPT. Good communication skills are essential. Experience in medical office settings preferred. Time management skills. Initiative to provide quality services and improve efficiencies. Proficiency in Microsoft Office, especially Excel and Teams.
Low healthcare insurance premiums 401(k) with employer match Paid time off (PTO) Employee discounts Company-paid life insurance Short-term and long-term disability insurance Cancer insurance Accident insurance Pet insurance Tuition reimbursement On-the-job training and skills development Opportunities for growth and advancement Employee assistance program
Location
Georgia, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 week ago