Certified Professional Coder
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.