Summary:
The Certified Coder at Desert Orthopedics
provides specialty healthcare coding to our Orthopedic Clinic.
Primary Responsibilities:
(May
perform additional duties of similar complexity within Desert Orthopedics as
required or assigned)
- Read and abstract physician office notes and procedure notes to
apply correct ICD-10, CPT, HCPCS and modifier coding assignment.
- Demonstrates less than 5% error rate with ICD-10, CPT, HCPCS and
modifier coding assignment, while maintaining the expected volume of
visits coded.
- Reviews specific charges prior to claim submission to ensure coding
is accurate.
- Coding of spine injection and procedures performed by Physical
Medicine and Rehabilitation Specialists such as RFA, epidural injections,
facet injections, arthrogram injections, etc.
- Future coding of surgical procedures performed by orthopedists such
as arthroscopic surgeries, total joint replacements, fracture repairs,
spine surgeries, etc. (training will be provided)
- Radiology coding for MRI and some X-Ray
- Assist clinic billing staff with coding related questions
- Conduct
coding audits of providers and provide education.
- Manages work files to resolve coding edits by
researching and using the most up-to-date tools available in order to make
the appropriate and compliant corrections for reimbursement
- Ensures all external regulations affecting the coding
process are implemented in the work course to assure compliance and
consistency of coding and reduce the risk of external audits
- Audit Provider Coding trends and update Providers
quarterly or as needed.
- ·
Other duties as assigned by Supervisor or Manager
Salary Range:
$17.00-$23.50
Qualifications:
Education:
High school diploma or GED required.
Associate Degree in Health Record Technology or
equivalent work experience in related field may be substituted for education.
Experience:
·
Minimum of 10 years of verifiable
orthopedic coding experience
·
Working knowledge of CPT, HCPCS, ICD-10-CM,
Prospective Payment Systems, Correct Coding Initiative, Third Party Liability
·
Ability to read/understand complex
surgical notes and medical records
·
Experience coding and/or auditing all
insurance carriers, i.e., worker’s compensation, private, commercial, state and
federal.
Job
Requirements:
·
Working
knowledge of Microsoft Office Products
·
Maintains
regular and predictable attendance
·
Works
cooperatively with other employees to resolve issues and maintains positive
attitude
·
Maintains
confidentiality of all Protected Health Information (PHI)
Licensure/Certification/Registration:
· CPC or CCS-P certification required within first
90 days of employment from AAPC or AHIMA .
·
A valid Registered Health Information Technician
(RHIT) certification preferred.
Physical Requirements:
Continually (75% or more):
Use of clear and audible speaking voice and the
ability to hear normal speech level.
Frequently (50%):
Sitting, standing, walking, lifting 1-10
pounds, keyboard operation.
Occasionally (25%):
Bending, climbing stairs, reaching overhead,
carrying/pushing or pulling 1-10 pounds, grasping/squeezing.
Rarely (10%):
Stooping/kneeling/crouching, lifting, carrying,
pushing or pulling 11-15 pounds, operation of a motor vehicle.
Never (0%):
Climbing ladder/step-stool,
lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered
speech level.
Exposure to Elemental Factors
Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical
solution, uneven surface.
Blood-Borne Pathogen (BBP) Exposure Category:
No Risk for Exposure to BBP