Certified Coder

Description

About Us

Carolina NeuroSurgery & Spine Associates (CNSA), established in 1940, is one of the largest and most highly respected neurosurgical private practices in the nation. As a physician-led, multi-site organization, we are recognized for clinical excellence and innovation in brain and spine care. Through our growing MSO, PracticeCore, and strategic partnerships, we are building a scalable, forward-thinking platform to support providers and deliver exceptional patient care. 

Job Objective: To maximize practice revenue by working effectively and efficiently with others to meet monthly RCM goals. Promotes positivity and collaboration within all CNSA departments.

Essential Job Responsibilities: 

• Reviews operative reports, notes, etc., and research to assign correct CPT and Diagnosis codes for surgeries and injections
• Reviews documentation to assign and submit accurate diagnosis codes for lower-level hospital rounds, consults, and admits
• Reviews and verifies codes to resolve pre-cert and insurance denials
• Reviews and research documentation to provide accurate CPT codes and estimates for Financial Counselors, pre-cert department, surgery schedulers, etc.
• Writes letters of medical necessity for providers required for pre-authorization and insurance denials
• Communicates with providers and staff to ensure accurate coding of services
• Sends overflow surgeries and op-notes, Medicare consults, and high-level evaluations to third party for coding; Reviews for accuracy upon receipt
• Identifies common coding mistakes for the practice and reports to manager
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations
• Maintains compliance with established coding guidelines and federal and state regulations
• Completes additional tasks and projects as assigned by director

This posting is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities of this position. CNSA retains the discretion to add to or change the job responsibilities of any position at any time with or without notice. 

Company Culture Responsibilities: 

• Reflects CNSA Core Values in all job responsibilities and interactions
• Compassion: Treats others with compassion and empathy
• Teamwork: Collaborates with all team members
• Communication: Communicates effectively and with positivity
• Integrity: Acts with integrity and accountability
• Innovation: Remains open-minded to new ideas and continual improvement
• Community: Treats every patient and team member as a part of the CNSA community
• Participates in department or system wide improvement plans
• Reports to work and adheres to assigned schedule from manager
• Performs high-quality work that is neat, accurate, complete, and on time
• Offers help to all patients by promptly responding to requests and needs
• Asks questions to gain full understanding of assignments
• Uses computer for approved work purposes only, and limits personal phone calls

  Monday – Friday: 8:00am – 5:00pm.  

Requirements

Education: A high school graduate with strong organizational, writing and verbal communication skills

Job Related Experience: Minimum 1 year of coding experience in a health care organization

Other Requirements: CPC Certification from the American Academy of Professional Coders

Performance Requirements:

Knowledge:

1. ICD-10, CPT, and HCPCS codes
2. Medical terminology and organizational services
3. Payer guidelines
4. Legal and ethical considerations related to patient information
5. HIPAA guidelines and policies
6. Awareness and understanding of interdepartmental responsibilities for informed decision making

Skills:

1. Time management, problem solving, multitasking, and prioritizing
2. Effective communication
3. Basic understanding of Microsoft Office Suite and Electronic Medical Record (EMR) systems
4. Detail orientation

Abilities:

1. Establishes and maintains effective working relationships with coworkers and diverse patient populations
2. Analyzes situations and responds appropriately 
3. Organizes and prioritizes information and assignments
4. Works independently with little or no supervision

Working Environment: Office-based or home-based with most time spent working in emails and various computer systems

Mental/Physical Requirements: Sitting and standing associated with a typical office environment. Speaking and hearing, both in-person and on the phone.