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
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Assign ICD-10 and CPT codes accurately for
Physician services
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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.
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Demonstrates knowledge and remains current in
regard to ICD's current version, CPT codes
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Abide by the Standards of Ethical Coding and
adhere to official coding guidelines
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Complete appropriate
paperwork/documentation/system entry regarding claim/encounter information
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Provide
support, education and training related to, quality of documentation, level of
service and diagnosis coding consistent with established coding guidelines and
standards
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Knowledge of Local Coverage Determinations and
National Coverage Determinations (LCD/NCD) medical necessity requirements
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Monitor Coding changes to ensure that most
current information is available
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Working knowledge of payer specific guidelines
and/or ability to seek resolve with billing department.
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Experience with surgery coding and E&M
coding
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Post charges accurately and submit electronic
claims
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Resolve any claim rejections, including CCI
edits
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Research inadequate documentation and rejected
or denial claims
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Query attending physicians for documentation and
diagnostic clarification
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Works with manager and physicians, providing
coding guidance
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Enters charges timely and accurately
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Runs and works daily reports.
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Plan, organizes, and integrates priorities and
deadlines.