Job Title: Ortho Coder Schedule: Remote; M-F 8AM-5PM JOB SUMMARY: Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues. JOB REQUIREMENTS: Certification: Certified Professional Coder (CPC) Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree - Experience - 2 + years of Ortho coding experience Epic experience JOB RESPONSIBILITIES: Validate/Review codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. 40% Responsible for resolving all assigned pre-billing edits.15% Utilizes appropriate coding software and coding resources in order to determine correct codes. 15% Communicates billing related issues to assigned supervisor/manager and participates in Denial meetings in order to improve overall billing when applicable. 10% Participates in coding educational opportunities (webinars, in house training, etc.). 5% Provides timely feedback to providers in order to clarify and resolve coding concerns. 5% Maintain knowledge of governmental and commercial payer guidelines. 5% Assists with the Coding Education team to identify areas that need additional training. 5% Performs other duties as assigned.
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