In-office position available to audit coding and
documentation for services rendered in an orthopedic clinical setting,
including, but not limited to, surgery, ER, office visits, consultations,
procedures, x-rays, cast applications, MRI and orthotics and prosthetics.
***NOT a remote position ***
Duties include: auditing charges from providers' charge
sheet or electronic health system for coding and billing accuracy using claim
scrubber software, medical records, practice management system, etc. to verify
the accuracy of entered charges; reviewing supporting documentation, CPT, HCPC
and ICD-10 codes for accuracy using Medicare guidelines, CCI, AAOS and other
medical data coding computer software; consulting with providers and the
business office staff to obtain missing documentation or information in order
to correct erroneous data; when appropriate, working assigned reports in a
timely manner; reviewing Orthopedic coding newsletters, coding alerts and
e-mail notifications daily; attending various webinars, seminars and coding
meetings as required for the position; identifying opportunities to reduce
denials and enhance revenue, reporting to business office supervisor and
director of matters regarding medical billing.
Applicant must have knowledge of coding, CCI/bundling, CPT,
HCPC, CCI, and ICD-10, insurance terminology, and contractual agreements;
familiarity with Medicare, Medicaid, HMO and commercial guidelines; strong PC
skills to include Microsoft applications, practice management systems, and
electronic health records; strong analytical, problem solving, and
organizational skills; the ability to multi-task, paying strong attention to
detail and accuracy; good oral and written communication skills.
CPC certification or comparable prior work experience in a
medical billing office. CPC
certification required within 2 years of date of employment.