Job Description
We are seeking a detail-oriented and experienced Same Day Surgery (SDS) Medical Coder to accurately review, assign, and validate medical codes for outpatient surgical procedures. The ideal candidate has strong knowledge of CPT, ICD-10-CM, HCPCS Level II, and payer-specific coding guidelines to ensure accurate reimbursement and regulatory compliance.
Key Responsibilities
- Review operative reports, physician documentation, anesthesia records, and supporting medical records to assign accurate diagnosis and procedure codes.
- Accurately code outpatient and ambulatory surgery cases using ICD-10-CM, CPT, and HCPCS Level II coding systems.
- Ensure compliance with AAPC, AHIMA, CMS, NCCI edits, OIG regulations, and payer-specific coding guidelines.
- Identify missing, incomplete, or conflicting documentation and coordinate with providers for clarification when necessary.
- Apply appropriate modifi...