Production Coding Specialist III

🔥 10 minutes ago

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US Anesthesia Partners

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 2012

💼 Consulting

🏥 Healthcare

⚕️ Healthcare Insurance

Consulting • Healthcare • Healthcare Insurance

US Anesthesia Partners is a leading provider of comprehensive anesthesia services, dedicated to delivering exceptional patient care and operational excellence. Founded by a team of forward-thinking anesthesiologists, USAP specializes in various anesthesiology areas including cardiovascular care, obstetrics, and pediatrics. With a network of thousands of clinicians and hundreds of facility partners across the nation, they serve over two million patients annually, aiming to redefine the standards of quality in anesthesia services.

📋 Description

• Review documentation for required elements, including attestations, signatures, dates, and other medical-record requirements • Abstract and code surgical procedures across all CPT sections and crosswalk surgical codes to ASA codes • Code complex anesthesia cases and apply appropriate modifiers • Code ICD10 • Abstract anesthesia times and events • Identify care-team providers and review medical direction • Meet team KPIs, including daily production and quarterly coding-audit score requirements • Work cases escalated by coding staff and provide feedback • Provide management reports as requested • Work complex edits and denials, including concurrency and provider-time conflicts • Identify and report trends • Adhere to company policies and procedures, especially HIPAA and confidentiality • Mentor less experienced coders and assist with training • Address escalated coding cases and interact with clinicians regarding documentation deficiencies • Collaborate with Quality and Education, RCM, and vendor coding teams

🎯 Requirements

• High school graduate or equivalent • 5+ years of complex surgical coding across all specialties • 4+ years of anesthesia coding • 5+ years of experience in anesthesia • Current CPC required • CANPC is a plus • Experience with complex coding for cardiac, critical care, transplant, and interventional radiology • Experience coding for physicians, CRNAs, CAAs, NPs, SRNAs, and residents • Proficiency in surgical CPT, ICD10, ASA codes, coding guidelines, NCCI bundling, LCD/NCD, and CMS guidelines • Proficiency coding all anesthesia elements, including time, medical direction, and care-team nuances • Experience with multiple EMRs and documentation types, including handwritten and electronic records • Working knowledge of MD Cloud Practice Solutions, Medaxion, PC7, and facility EMRs • Working knowledge of Athena IDX for edits, denials, manual tasks, and charge corrections • Extensive knowledge of Microsoft Word, Excel, and Adobe PDF • Intermediate Outlook skills • Ten-key proficiency • Ability to read, write, and speak English • Excellent computer, organizational, and time-management skills • Ability to work independently and self-motivate new projects • Must reside outside California, Hawaii, and Alaska

🏖️ Benefits

• Quarterly bonus eligibility • Equal employment opportunities • Reasonable accommodations for individuals with disabilities