Role Description
Physician Coder: Orthopedics is responsible for reviewing and accurately coding all professional services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement. The role requires adherence to MedKoderβs internal coding policies and expectations set forth by department management.
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Prioritize daily duties and multitask effectively.
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Communicate effectively and make necessary decisions to complete all assigned tasks and accomplish goals.
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Review and accurately code Orthopedic Surgery and E/M cases to maximize reimbursement in a timely manner.
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Review and accurately code E/M visits and office procedures.
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Work independently and research coding scenarios.
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Meet daily production goals and maintain a quality goal of averaging 95% accuracy rate consistently.
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Attend conference calls as necessary to provide information and/or feedback.
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Communicate with leadership on coding or documentation issues/trends.
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Stay current on all coding guidelines (including orthopedic-specific guidelines) and maintain credentials as necessary.
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Participate in coding department and education meetings.
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Be flexible to expand coding skill set into other Orthopedic subspecialties or other specialties altogether.
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Maintain confidentiality and protect sensitive information.
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Perform other duties as assigned by leadership.
Qualifications
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High School diploma required; Associates or BS degree preferred.
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Successful completion of at least one AHIMA or AAPC certified program with the achievement of the correlating professional credential (CCS, CPC, etc.); active and in good standing.
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A CPC or CCS-P certification is required; the CPC-A is not accepted.
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Minimum of 3 years physician coding experience (recent hands-on production) in the specialty of Orthopedics, specifically for surgeries, E/M services, and office procedures (joint injections, fracture care).
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Proficient knowledge of anatomy and physiology, medical terminology, CPT, ICD-10 coding, modifiers, disease processes, surgical techniques, and Medicare and Medicaid billing policies for professional services.
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Proficiency with Microsoft Word, Excel, PowerPoint, Windows, and electronic healthcare record information and billing systems.
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Experience working with Google Workspace preferred but not required.
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Experience working remotely is preferred but not required.
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Auditing experience is a PLUS.
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CPMA certification is a PLUS.
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Epic and Cerner PowerChart experience is a PLUS.
Benefits
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Privately held, growing company with strong values and ethics.
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Professional development and education.
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All positions are permanent β no contracts or sitting on a βcoding bench.β
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Generous paid time off, holiday pay, and flexible scheduling year-round.
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Internal network of Medical Coding Industry Leaders β CEO is a Certified Coder with 20+ years of experience.
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Up to 100% EMPLOYER PAID Medical, Dental, and Vision benefits for employees.
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401K and Profit Sharing.
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STD, LTD, Life Insurance, and FSA Program.
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Paid AAPC and AHIMA corporate memberships.
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30 Hours of CEU pay (continuance in education).
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MedKoder recognized by Modern Healthcare as Best Place to Work.