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.