Orthopedic Coding Specialist- Spine / Trauma Focus- $2000 Sign-On-Bonus

Orthopedic Coding Specialist- Spine / Trauma Focus- $2000 Sign-On-Bonus

Position Summary : Responsible for orthopedic coding and compliance for assigned Orthopedic One providers which may include Orthopedic Surgeons (spine and trauma), advanced practice providers, and PM&R specialists.

Responsibilities / Accountabilities :

Orthopedic Coding :

• Review operative and / or progress notes to code claims for providers who have A / R support provided by staff not credentialed as CPC.
• Review NCCI edits to code modifiers for surgeries and procedures based on operative and / or progress notes.
• Ensure proper coding of hospital visits, surgeries, physician, physical therapy and occupational therapy visits for providers.
• Review incomplete charge slips identified by other staff members for missing procedures or codes. Provides team members with information needed to complete charge entry.

Education, Experience, and Certification / Licensure Required :

High School Diploma or equivalent required. Minimum of 3 – 5 years of work experience coding orthopedic surgical cases, preferably including experience with Spine or Trauma subspecialities. Candidates must have current certification as a Certified Professional Coder, or equivalent, and additional certification specific Orthopedic Coding is preferred. Proficiency with software including practice management systems and Microsoft Excel is required.

Knowledge, Skills, and Abilities :

Current AAPC, Certified Professional Coder (CPC) required and / or additional coding as Certified Orthopedic Surgery Coder (COSC), Certified Evaluation and Management Coding (CEMC) desirable; Demonstrates general knowledge of medical terminology and human anatomy; Demonstrates knowledge of medical billing and coding, evidenced by designation of certified professional coder and relevant job experience; Demonstrates knowledge of insurance processes and reimbursement practices; Able to work with high volume of work while maintaining attention to detail and accuracy; Demonstrates excellent oral and written communication skills; Able to operate practice management system and other computer programs (i.e., use Windows operating system, conduct Internet searches, communicate by email, etc.); Able to operate a calculator to accurately perform basic math functions.

Able to work cooperatively as a member of the billing department to meet the needs of internal and external customers; Able to troubleshoot and resolve problems reported by staff with the practice management system.

Policies and Procedures :

Teamwork :

Customer Service and Communications :

Shares Knowledge / Educates :

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