The incumbent of this role abstracts data from the anesthesia record into the MD Cloud Practice Solutions platform, and may also work with other charge capture platforms, including Medaxion, PC7, and multiple facility EMR’s based on assigned location. This role possesses a high-level competency in ICD10 coding and coding guidelines. Coder I codes for physicians, CRNA, CAA, NP, SRNA, and residents. Coder I has familiarity with LCD/NCD and experience with CMS guidelines for coding.

ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to):

• Reviews anesthesia documentation, and other forms of documentation for appropriate required elements, such as attestations, signatures, dates etc.
• Abstracts and codes surgical procedures from all sections of CPT and cross walk surgical codes to ASA.
• Comprehensive understanding of applicable
• Proficient in ICD10 coding
• Abstracts anesthesia times and
• Identifies and assigns care team
• Reviews for medical
• Meet team KPIs including, including daily production and quarterly coding audit score
• Performs other duties as
• Adheres to all company policies and procedures – especially HIPAA and confidentiality 

Knowledge/Skills/Abilities (KSAs):

• Highschool graduate or equivalent.
• CPC with 2+ years of experience in surgical coding minimum, anesthesia a plus.
• Experience with multiple EMR’s and documentation types and templates, including handwritten paper documentation, and electronic medical records.
• Basic charge capture platform experience.
• Intermediate knowledge and working experience with Microsoft Word, Excel, and Adobe PDF.
• Intermediate Outlook skills.
• Communicate well with all levels of USAP employees.
• Excellent organizational and time management skills required to complete daily assignments in a timely manner.
• Ability read, write, and speak English.
• Excellent computer skills.
• Ability to work independently.

*The physical demands described here are representative of those that may need to be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

• Occasional Standing
• Occasional Walking
• Frequent Sitting
• Frequent hand, finger movement
• Use office equipment (in office or remote)
• Communicate verbally and in writing

DISCLAIMER: The above job description has been written to indicate the general nature and level of work performed by employees within this classification. It is not written to be inclusive of all duties, responsibilities and qualifications required of employees assigned to this job.

US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.