Review medical record documentation, including procedure reports, operative notes, and clinical documentation, and assign accurate CPT, ICD-10-CM, and HCPCS codes in accordance with coding guidelines, payer requirements, and organizational policies.
Support both inpatient and outpatient coding activities, including Evaluation & Management (E/M) level assignment, with a focus on anesthesia coding and anesthesia-specific billing guidelines.
Submit charges and/or enter coded services in a timely manner to support accurate billing, compliance, optimal reimbursement, and revenue cycle operations. Partner with providers, clinical staff, and revenue cycle teams to resolve coding issues, improve documentation practices, and maintain coding accuracy.
Education
- High School Diploma or GED required
- Associate's degree preferred
Experience
- At least 1 year of coding experience required
- At least 2 years of coding experience preferred
Skills and Knowledge
- Extensive experience with anesthesia coding, including anesthesia CPT codes, modifiers, and related ICD-10 diagnoses
- Experience coding both inpatient and outpatient encounters across physician and facility settings
- Strong knowledge of E/M leveling and documentation guidelines
- Proven ability to review medical records, procedure reports, operative notes, and clinical documentation to assign CPT, ICD-10-CM, and HCPCS codes accurately
- Understanding of anesthesia billing, coding compliance, reimbursement methodologies, and payer regulations
- Experience with charge capture, charge entry, charge reconciliation, and timely submission of coded services
- Ability to interpret complex clinical documentation and identify coding opportunities or documentation deficiencies
- Experience working with Epic and/or other EHR and coding platforms
- Strong attention to detail with high coding accuracy, quality, and productivity
- Ability to collaborate with providers and clinical teams to improve documentation and coding practices
Certifications
- CPC, CPC-A, CPC-H, CCS, or CCS-P required upon hire
Location
Philadelphia, Pennsylvania, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 week ago