Orthopedic​/Spine Surgical Coder

General summary of duties: Responsible for coding, billing, denials, accounts receivable and payer policy updates

Supervision received: Reports to Revenue Cycle Manager

Education: CPC certification required

Pay: $53,000 - $65,000 /annual salary (DOE)

Location: Flagstaff office (Remote considered)

• Analyze and interpret medical information in the medical record and assign/sequence the correct ICD-10-CM, CPT, and/or HCPCS code to the diagnoses/procedures of office, inpatient and/or outpatient medical records, including operative reports, according to established coding guidelines.
• Enter surgical charges in accordance with National Correct Coding Edits, applying correct modifiers and ICD-10 codes for accurate and compliant coding.
• Interact with and provide support to the practice to answer questions and resolve claim denials.
• Employ strong understanding of the encounter/billing process, and working knowledge of a Medicare, Commercial, and all other insurance plans as well as, their impact on reimbursement. Utilize medical reference resources and contacts to thoroughly research coding issues and to maintain working knowledge of payment/reimbursement systems to ensure maximum reimbursement and coding compliance.
• Identify opportunities for billing/coding improvements. Participate in developing, implementing, and reviewing programs for coding compliance monitoring, criteria for benchmark comparisons, organizational policies and procedures, and physician clinical documentation improvement programs.
• Meet or exceed productivity and quality standards as assigned by management.
• Take responsibility for various projects as assigned by management and perform any additional/miscellaneous duties (not inclusive of job description) as requested by the management team within the scope of knowledge/ability.
• Work as a team player and communicate in a positive manner with co-workers, managers, providers, and other contacts.

• Must have orthopedic/spine coding experience and the ability to review and natively code complex operative procedure reports.
• Athena experience preferred
• Must have CPC certification and surgical billing experience as well as claims adjudication experience.
• Must have experience with working with Commercial, Medicare, Medicaid, and secondary insurance plans.
• Must be able to adequately communicate and coach providers on proper billing practices.
• Must be familiar with current coding trends including ICD 10.
• Skills in establishing and maintaining effective working relationships with patients, medical staff, and the public.
• Work at an efficient and fast pace.
• Must be self-motivated.
• Must be highly organized and have excellent attention to detail.
• Skills in exercising initiative, judgment, discretion, and decision-making to achieve organizational objectives.

• Sitting/standing for 8-9 hours a day.
• Must be able to view computer screen for long periods.
• Requires hand-eye coordination and finger dexterity.
• Occasional stress related to workload and assisting patient/staff/physicians with problems.

Since 1978, Flagstaff Bone and Joint has helped people across Northern Arizona move better, feel better, and return to the lives they love. As a successful, physician-owned orthopedic and spine practice, we combine high-quality musculoskeletal care with a workplace where employees are valued, supported, and encouraged to grow. Our collaborative, fast-paced teams share a commitment to respecting patients’ time and money while fostering a culture of excellence.

If you are looking for meaningful work, opportunities to build your healthcare career, and a fun, dedicated team, we invite you to grow with FBJ.

• Supportive,…