Coder II - OP Physician Coding; Ortho Surgery

SPECIALTY SCOPE FOR THIS CODER II POSITION TO INCLUDE BUT NOT LIMITED TO:
Upper Extremity

• Shoulders:
  Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair
• Elbows:
  Cubital tunnel release, Bursectomy, Arthroplasty
• Wrist:
  Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment)
• Hands:
  Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, Dupuytren's (Palmar fascial fibromatosis), Amputations

• Hips:
  Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy
• Pelvis:
  Fracture repairs
• Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs
• Knees:
  Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy
• Tibia/Fibula:
  Plateau repairs, shaft Fracture repairs, Percutaneous repairs, Arthrodesis, Pilon/Plafond repairs, Malleolar repairs, Sprain

Days:
Monday - Friday

Hours:

8hrs a day, 80hrs a pay period

100% Remote

The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (highly experienced) The specific rate will depend upon the successful candidate’s specific qualifications and prior experience.

• The Coder 2 is proficient in three or more types of outpatient, Profee, or low acuity inpatient coding.
• The Coder 2 may code low acuity inpatients, one time ancillary/series, emergency department, observation, day surgery, and/or professional fee to include evaluation and management (E/M) coding or profee surgery.
• For professional fee coding, team members in this job code will be proficient for inpatient and outpatient, for multi-specialties.
• Coder 2 utilizes the International Classification of Disease (ICD-10-CM. ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding.
• Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.)
• The Coder 2 will abstract and enter required data.

• Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees.
• Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.
• Communicates with providers for missing documentation elements and offers guidance and education when needed.
• Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.
• Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.
• Reviews and edits charges.

• Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area.
• Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function.
• Sound knowledge of anatomy, physiology, and medical terminology.
• Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits.
• Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.
• Ability to interpret health record documentation to identify procedures and services for accurate code assignment.
• Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.

Our competitive benefits package includes the following:

• Immediate eligibility for health and welfare benefits
• 401(k) savings plan with dollar-for-dollar match up to 5%
• Tuition Reimbursement
• PTO accrual beginning Day 1

Note:

Benefits may vary based upon position type and/or level

• EDUCATION - H.S. Diploma/GED Equivalent
• EXPERIENCE - 2 Years of Experience
• CERTIFICATION/LICENSE/REGISTRATION - Must have ONE of the coding certifications as listed:
• Cert Coding…