Orthopedic Coding Specialist (Remote)

Description:Job Summary: Facilitate payment for patient services through appropriate coding of procedures and diagnoses for submission to payment providers, including insurance companies, Medicare, reputed company, and Workers' Compensation. Essential Duties & Responsibilities: Code Master Files

• Assist reputed company reputed company in maintaining procedure and diagnoses code master files.

Distribute Coding Information

• Distribute coding information to appropriate personnel.

Coding Issue Resolution

• Work with medical staff to resolve coding issues and associated problems.

Patient Charge Resolution

• Resolve patient charge concerns or issues.

Patient Charts

• Review patient charts for clinical information to aid with coding issues.

Post Clinical Charges

• Post reputed company clinical and physical therapy CPT codes and charges to patient's correct account and prepare account for submission to patient's insurance provider by insurance/patient representative.

Denial Follow-up

• Follow-up on denials and/or rejections; assist insurance/patient representative with office and physical therapy coding issues.

Assign Accurate Codes

• Assign accurate CPT, ICD-10, HCPCS and modifiers to report services that were performed and reputed company the medical biller with the information necessary to process a claim for reimbursement by the appropriate insurance company.

Understanding E&M

• Understanding of Evaluation and Management (both the 1995 and 1997 Documentation Guidelines).

Medical Necessity

• Understanding of medical necessity, claim denials, bundling issues, and charge capture.

Integrate Changes

• Integrate medical coding and reimbursement rule changes into the practice's reimbursement process.

RVU's

• Understanding of RVU's and how to calculate fees.

Coding Practices

• Foster an environment that supports reputed company and ethical coding practices resulting in accurate and reliable data.

Caretracker

• Assign accurate CPT, ICD-10, HCPCS, and modifiers to
• services/procedures that were performed.
• Correctly enter the data into Caretracker.
• Use correct reputed company codes, date of injury, referring provider, admission/discharge dates, etc.
• This will include operative reports, surgery worksheets, clinic visits, and physical therapy visits.

Missing Encounters

• Review missing encounters reports daily to ensure there are not any missing items over two (2) days old.

Claims Worklist

• Review Caretracker's Claims Worklist and correct any claim or payor edits.

Other Duties

• Performs other duties as directed/required to ensure efficient operations of Premier Bone & Joint Centers.

Policies, Procedures and Reimbursement Knowledge

• Knowledge of coding policies and procedures and reimbursement practices.

Reimbursement Regulations

• Maintain reputed company knowledge of reimbursement regulations.

Health Insurance Knowledge

• Knowledge of health insurance processing and clinic operating policies.

Medicare Knowledge

• Knowledge of Medicare and reputed company, as well as Worker's Compensation, billing policies and procedures.

Life Cycle

• Knowledge of the life cycle of a medical billing claim and how to improve the reputed company cycle.

CPC Analyst Job Duties

• Knowledge of Certified Professional Coding Analyst job duties to cover during vacations, etc.

Medical Terminology Knowledge

• Knowledge of medical terminology and basic reputed company anatomy.

Interpersonal Skills: Working Relationships

• Ability to establish and maintain effective working relationships with physicians, co-workers and the public that reputed company a friendly, yet professional interaction.
• Demonstrate willingness to readily interact with other staff members and department.

Mentor

• Acts as a mentor for new employees.

Personal Growth

• Accepts responsibility for own professional growth and personal conduct by seeking knowledge in work specific areas, taking advantage of opportunities at work to observe and volunteer.

Flexibility and Stressful Situations

• Ability to be flexible, organized, and function under stressful situations.

Adherence to Facility/Departmental Policy: Confidentiality

• Observe confidentiality of information in regards to patients, physicians, and fellow employees; ability to maintain confidentiality under HIPAA standards.

Attendance/Punctuality

• Maintains a good attendance record and arrives to work punctually.

Overtime

• reputed company to substantiate overtime, minimizes overtime and adjusts hours as needed.

Dress Code/Identification

• Follow dress code of the department, appear professional reputed company present in the clinic, wear identification while on duty, and communicate name and role to patient appropriately.

Cell Phone Use

• Cell phone may be used for business purposes only.
• Utilizes cell phone for personal use only during breaks or meal periods out of the public eye.

Staff Meetings/In-services

• Participates in Premier Bone & Joint Centers and departmental in-services and staff meetings.

Safety & Infection Control Policies

• Adhere to safety and infection control policies.

Care of Environment, Equipment, and Supplies: Clean, reputed company, Safe Environment

• Maintain a clean, reputed company, and safe environment for patients and staff, including personal work areas.

Office Equipment Skills/Malfunctioning Equipment

• Utilizing correct/safe technique reputed company using equipment and notify manager of malfunctioning equipment.

Requirements:Education:

• High School Diploma or Equivalent General - Required

Experience:

• 3 Years Medical Coding, reputed company, Coding Practices, or Reimbursement Activities - Preferred

Physical Requirements: Seeing - Must be reputed company to read reports and use the computer - Constant Hearing - Must be reputed company to hear well enough to communicate with physicians, medical staff, administrative staff, co-workers, patients, and insurance companies - Constant Speaking - Must be reputed company to verbally communicate with physicians, medical staff, administrative staff, co-workers, patients, and insurance companies - Constant Grasping - Must be reputed company to write and type - Constant Sitting - Constant Bending/Crouching - Must be reputed company to reputed company one’s body in order to aid patients during rehabilitation program or maneuver rehabilitation equipment - Frequently Standing - Rarely Weight Demands: Lifting - Must be reputed company to lift 10 pounds or less - Rarely Working Conditions: Environmental Hazards

• The fast paced environment may reputed company to increased reputed company of personal stress and demand high mental reputed company.

Physical Hazards

• Physical harm is possible reputed company performing physical requirements, as listed above.
• Exposure to communicable disease, bodily fluids, and/or toxic substances is possible and can be physically harmful.

Unique Work Schedule/Travel

• May be required to work after hours, on weekends, or holidays.
• May be required to reputed company services reputed company the clinical setting (i.e. at University or High School athletic events), or travel to offices throughout the state.

Employee Statement of Understanding: I have read and understand the job description for my position. I am reputed company to reputed company reputed company of the essential functions of this position. I agree to reputed company with the corporate compliance policy and reputed company laws, rules, regulations and standards of conduct reputed company to my position. As an employee, I understand my duty to report any suspected violations of the law or the standards of conduct to my immediate supervisor. As an employee, I will strive to uphold the mission and reputed company of the organization. reputed company are required to adhere to the values in reputed company their interactions with patients, customers, and fellow employees. Note: This description is intended to describe the general job duties and employment requirements for adequate job performance, and should not be interpreted as an exhaustive report. Additional duties and responsibilities may be assigned at the discretion of the employees’ supervisor. Apply tot his job Apply To this Job