Outpatient Facility Same Day Surgery and Observations Coder

About Xtend Healthcare

At Xtend Healthcare, our mission is to empower clients to surpass their financial health objectives through innovative, scalable reimbursement solutions combined with clinical expertise. By leveraging state-of-the-art technology and data analytics, we ensure that our services are both effective and accountable.

We are committed to fostering long-term career opportunities by investing in the professional advancement and personal growth of our team members.

Job Summary

The Coding Specialist will focus on coding Outpatient Facility Same Day Surgeries (SDS) and Observation cases, utilizing CPT, HCPCS, and ICD-10-CM coding systems. Candidates should have between two and three years of relevant experience, inclusive of observations coding.

Key Responsibilities

• Independently perform coding duties, working remotely with minimal supervision.
• Deliver various coding-related services supporting client needs.
• Calculate Professional Fee and/or Facility Evaluation and Management (E/M) levels using a proprietary company algorithm.
• Identify critical care cases based on patient acuity and code accordingly.
• Apply accurate surgical procedure codes typical to emergency room settings to optimize additional revenue capture.
• Assign ICD-10-CM diagnosis codes with the highest specificity attainable.
• Precisely utilize ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS coding conventions.
• Interpret official coding guidelines to ensure proper code assignments.
• Recognize the importance of thorough documentation in accurate code assignment and reimbursement impact.
• Adhere to AHIMA's Standards of Ethical Coding and the company’s Ethics and Compliance policies.
• Comply with all company internal policies and procedures.
• Participate actively in company-provided coding training and education programs.
• Maintain a current coding credential through AAPC or AHIMA as required.
• Ensure strict compliance with privacy and security regulations protecting all company confidential information, including Personal Health Information.

Minimum Qualifications and Requirements

• Must hold coding certification from AAPC (CPC or COC) or AHIMA (CCS or CCS-P); CCA and CPC-A credentials are not accepted.
• A minimum of two years’ hands-on experience coding Same Day Surgeries and Observation cases is required.
• Reliable attendance and punctuality are essential.
• Familiarity with electronic medical records (EMR) and billing systems.
• Possession of a phone, dependable internet access, and current CPT and ICD-10-CM coding materials.
• Capability to sustain a productivity and accuracy rate of at least 95%.
• Ability to maintain a quality score of 95% or above.
• Proficiency in Microsoft Excel and Outlook, including basic spreadsheet functions and email/calendar management.
• Strong verbal and written communication skills presented professionally.
• Capability to analyze, make decisions, coordinate efforts, and meet deadlines.
• Additional duties as assigned by leadership.

Physical Requirements

Work involves prolonged periods of computer use (6-8 hours daily) with intermittent interruptions, requiring good eye-hand coordination and manual dexterity. Occasionally lifting up to 20 pounds may be necessary. The role may involve high-stress situations with multiple concurrent deadlines. Reasonable accommodations will be provided for individuals with disabilities.

This job description serves as a guideline reflecting primary responsibilities and essential functions, but is not exhaustive. Additional duties may be assigned as appropriate.