SURGERY CODER – REMOTE ROLE Job 2024 Full Time

• Utilize technical coding principals and reimbursement rules to assign appropriate ICD-10 diagnosis and CPT procedures including understanding all elements in Ortho Surgery coding.
• Regularly communicates with the healthcare provider to ensure documentation and coding reflects care rendered.
• Supports healthcare provider education in areas of CMS regulations, coding, billing, documentation and administrative guidelines.
• Manages assigned provider workload
• Communicates trends in coding and documentation to manager for assigned providers
• Monitor documentation and coding practices to identify and follow up on potential coding related compliance issues and/or missed revenue potential.
• Maintain current knowledge base in all aspects of CPT, HCPCS, and ICD -10-CM coding.
• Keep abreast of all current billing and coding rules and regulations affecting government and non-government payers and distributes information to appropriate individuals as needed.
• Reviews and research coding/billing issues, including but not limited to, rejection reports and claim denials.
• Perform regular analysis of the impact of coding on reimbursement and identifies trends and opportunities for improvements.
• Adhere to compliance regulations while performing all duties detailed.
• Other duties as assigned.

• Demonstrates knowledge of HCPCS, ICD-10 and CPT coding guidelines, medical terminology, anatomy, and physiology.
• Ability to accurately code diagnosis, diagnostic and surgical procedures with a depth of knowledge in Orthopedic Surgery coding.
• Knowledge of legal, regulatory, and policy compliance issues related to medical coding and documentation
• Demonstrates effective verbal and written communication skills.
• Research skills including knowledge of automated analysis tools and on-line research tools to resolve complex coding issues.
• Demonstrates ability to effectively work within a team environment, using excellent written, verbal, and presentation skills to share findings and compliance issues with coders, office managers, physicians, etc.
• Maintains confidentiality and protects sensitive data.

Experience

Preferred

• 2 – 3 years: Years of experience

Behaviors

Preferred

• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
• Team Player: Works well as a member of a group

Motivations

Preferred

• Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization