Medasource
Job Description: Pro Fee Coder – Urology
The Urology Pro Fee Coder will review clinical documentation to assign and sequence diagnostic and procedural codes specific to Urology services, ensuring accurate billing and reimbursement for professional (Pro-Fee) encounters. The coder will validate CPT/HCPCS and ICD-10 codes to accurately capture the diagnoses, procedures, and services performed in Urology practices. This role requires a strong understanding of coding for urologic surgeries, procedures, and evaluations. The coder performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements and may interact with client staff and providers as needed.
DUTIES AND RESPONSIBILITIES: Select and sequence ICD-10 and CPT/HCPCS codes for Urology patient encounters including, but not limited to, office visits, minor and major procedures, and surgical interventions (e.g., cystoscopy, prostate biopsy, lithotripsy, TURP, vasectomy). Review and analyze Urology clinical documentation to ensure that CPT and Evaluation & Management (E/M) codes accurately reflect the services rendered and diagnoses documented. Abstract clinical data from the record to ensure that documentation supports the selected diagnoses, procedures, and discharge disposition. Validate coding accuracy for urologic-specific modifiers, global surgical packages, and bilateral procedures. Collaborate with providers and client staff for data integrity, clarification, and compliant coding practices, including provider queries as needed. Maintain strict patient and provider confidentiality in compliance with all HIPAA Guidelines. Participate in client and Savista staff meetings, trainings, and conference calls as requested and/or required. Maintain current working knowledge of ICD-10-CM, CPT, and HCPCS code sets, coding guidelines, and payer-specific billing requirements related to Urology. Participate in continuing education activities to enhance Urology coding knowledge, maintain credentials, and stay updated on coding and reimbursement changes.
SKILLS AND QUALIFICATIONS: Candidates must successfully pass a pre-employment skills assessment. Required: An active AHIMA credential (RHIA, RHIT, CCS, or CCA) or AAPC credential (CPC, COC, CCS-P, or related specialty certification). Minimum of 2 years of recent hands-on Pro Fee coding experience, with at least 1 year in Urology codingpreferred. Knowledge of Urology terminology, anatomy of the urinary and reproductive systems, and common Urology procedures. Ability to consistently code at 95% quality while maintaining client-specific productivity standards. Strong understanding of coding E/M visits, diagnostic tests (uroflowmetry, urodynamics), and surgical procedures (TURBT, stent placement, prostatectomy, etc.). Proficient computer knowledge including MS Office (Outlook, Word, Excel). Excellent interpersonal and problem-solving skills with all levels of internal and external customers. PREFERRED SKILLS: Recent experience coding in a high-volume Urology practice or hospital-based Urology department. Associate degree in HIM or related healthcare field, or equivalent combination of education and experience. Experience using RCX, Cerner, or NextGen (a plus).
The Urology Pro Fee Coder will review clinical documentation to assign and sequence diagnostic and procedural codes specific to Urology services, ensuring accurate billing and reimbursement for professional (Pro-Fee) encounters. The coder will validate CPT/HCPCS and ICD-10 codes to accurately capture the diagnoses, procedures, and services performed in Urology practices. This role requires a strong understanding of coding for urologic surgeries, procedures, and evaluations. The coder performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements and may interact with client staff and providers as needed.
DUTIES AND RESPONSIBILITIES: Select and sequence ICD-10 and CPT/HCPCS codes for Urology patient encounters including, but not limited to, office visits, minor and major procedures, and surgical interventions (e.g., cystoscopy, prostate biopsy, lithotripsy, TURP, vasectomy). Review and analyze Urology clinical documentation to ensure that CPT and Evaluation & Management (E/M) codes accurately reflect the services rendered and diagnoses documented. Abstract clinical data from the record to ensure that documentation supports the selected diagnoses, procedures, and discharge disposition. Validate coding accuracy for urologic-specific modifiers, global surgical packages, and bilateral procedures. Collaborate with providers and client staff for data integrity, clarification, and compliant coding practices, including provider queries as needed. Maintain strict patient and provider confidentiality in compliance with all HIPAA Guidelines. Participate in client and Savista staff meetings, trainings, and conference calls as requested and/or required. Maintain current working knowledge of ICD-10-CM, CPT, and HCPCS code sets, coding guidelines, and payer-specific billing requirements related to Urology. Participate in continuing education activities to enhance Urology coding knowledge, maintain credentials, and stay updated on coding and reimbursement changes.
SKILLS AND QUALIFICATIONS: Candidates must successfully pass a pre-employment skills assessment. Required: An active AHIMA credential (RHIA, RHIT, CCS, or CCA) or AAPC credential (CPC, COC, CCS-P, or related specialty certification). Minimum of 2 years of recent hands-on Pro Fee coding experience, with at least 1 year in Urology codingpreferred. Knowledge of Urology terminology, anatomy of the urinary and reproductive systems, and common Urology procedures. Ability to consistently code at 95% quality while maintaining client-specific productivity standards. Strong understanding of coding E/M visits, diagnostic tests (uroflowmetry, urodynamics), and surgical procedures (TURBT, stent placement, prostatectomy, etc.). Proficient computer knowledge including MS Office (Outlook, Word, Excel). Excellent interpersonal and problem-solving skills with all levels of internal and external customers. PREFERRED SKILLS: Recent experience coding in a high-volume Urology practice or hospital-based Urology department. Associate degree in HIM or related healthcare field, or equivalent combination of education and experience. Experience using RCX, Cerner, or NextGen (a plus).