|Skills:||Experienced in coding surgeries for Orthopedics
|Required Certifications:||CPC,or CCS-P
|Required Experience:||1 to 2 years
|Location:||Newton, MA* Note: This listing is for a remote position
Summary of Position
(Position will be on site in Newton 1-2 days and remote 3-4 days per week after training is successfully completed. Candidate must live in area to commute to Newton).
Under general supervision, assigns diagnosis and procedural codes to
medical procedures to ensure compliant coding/billing of facility and office
based services. Monitors and reviews all medical records in order to
assure the accuracy of medical coding, including appropriate completion and
documentation of physician signatures, and proper coding of all diagnoses and
procedures. Thorough understanding of CMS/Medicare regulations, as well
as technical knowledge of the International Classification of Disease (ICD-10)
and Current Procedural Terminology (CPT-4) classification systems.
Provides billing department with accurate completed coded reports for
processing, notifying sites of missing information and following up
accordingly. May provide administrative and data entry support as required. Reports to Coding Supervisor.
·Ensures that professional services are captured and coded and
ensures coding compliance with federal regulations and insurance requirements.
Ensures that CPT and ICD codes are aligned so that there will be no question as
to relationship between diagnosis and treatment and the claim will be
·Evaluates and interprets medical records and reports in order to
accurately code diagnosis and procedures. Assesses encounter
documentation using Center for Medicare and Medicaid Services (CMS)
documentation standards. Based on provider’s documentation identifies
possible documentation changes which, if implemented, would more accurately
account for services provided. Presents findings to provider and works to
·Correctly enters coding information into an EpicCare electronic medical
·Serves as a resource on coding issues.
·Assists with the development of processes and procedures structured to
optimize reimbursement, limit liability and enhance data integrity.
·Keeps up to date on billing/coding rules, including the annual update
of CPT-4 and ICD-10 codes. Maintains CEUS needed for certification.
·Performs all job functions in compliance with applicable federal,
state, local and company policies and procedures.
Skills and Experience: At
least 2-3 years recent coding experience, experience coding surgical cases
preferred. Thorough knowledge of medical terminology, ICD-10-CM and CPT4 coding
necessary. Understanding of both the medical and business side of healthcare
operations. Highly organized, self-motivated, detail-oriented and
energetic team player. Ability to multi-task in a fast-paced environment.
Excellent verbal and written communication skills. Must be detail
oriented. Strong computer skills including MS Office, Internet, and
E-mail. Excellent problem solving ability and good interpersonal skills. Epic