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Certified Professional Coder Job in N. Easton, Massachusetts

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Job Title: Certified Professional Coder

Employer:Orthopedic Care Physician Network
Required Certifications:CPC
Required Experience:1 to 2 years
Preferred Experience:1 to 2 years
Location:20 Roche Bros Way N. Easton 02356, MA, US
Date Posted:3/9/2020
Certified Professional Coder

Seeking a certified coder preferably with an orthopedic background as well as a working knowledge of medical billing to join our growing orthopedic practice. The position is responsible for charge entry, reviewing the accuracy of physician E&M and surgical CPT codes, as well as related ICD-10 codes; handle claim issues to include denials, edits and rejections along with the ability to perform daily audits and random medical record audits. 

In addition to the review of findings with managers/providers and work with the billing team on payer related issues. 

Required Experience 1-2 yrs. Preferred 2-4+ yrs. Experience

ü  Assign ICD-10 and CPT codes accurately for Physician services

ü  Reviews physician documentation to ensure accurate coding of all office and surgical procedures,  assign the appropriate procedure and diagnosis codes based on current coding guidelines, The coder will verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered and assigns appropriate modifiers.

ü  Demonstrates knowledge and remains current in regard to ICD's current version, CPT codes

ü  Abide by the Standards of Ethical Coding and adhere to official coding guidelines

ü  Complete appropriate paperwork/documentation/system entry regarding claim/encounter information

ü   Provide support, education and training related to, quality of documentation, level of service and diagnosis coding consistent with established coding guidelines and standards

ü  Knowledge of Local Coverage Determinations and National Coverage Determinations (LCD/NCD) medical necessity requirements

ü  Monitor Coding changes to ensure that most current information is available

ü  Working knowledge of payer specific guidelines and/or ability to seek resolve with billing department.  

ü  Experience with surgery coding and E&M coding

ü  Post charges accurately and submit electronic claims

ü  Resolve any claim rejections, including CCI edits

ü  Research inadequate documentation and rejected or denial claims

ü  Query attending physicians for documentation and diagnostic clarification

ü  Works with manager and physicians, providing coding guidance

ü  Enters charges timely and accurately

ü  Runs and works daily reports.

ü  Plan, organizes, and integrates priorities and deadlines.


Reena Sarnie, Human Resource Manager @


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