Certified Medical Coder

Northwest Orthopaedic Specialists•Spokane, WA

1d•Hybrid

About The Position

NWOS is hiring a Certified Medical Coder to support its providers and/or facilities. The role ensures claims are accurately coded using classification systems such as ICD-10, CPT, and HCPCS, and that medical documentation supports billed services and complies with legal and regulatory standards. This is not a remote position. A hybrid option may be available after a successful 90-day review. Training will take place at both the Downtown Spokane and Spokane Valley offices. The position works with clinical and clerical staff, patients, and insurance companies to obtain complete charge information, maintain accurate billing, resolve claims and patient billing issues, and keep accounts receivable current. The role also requires adherence to HIPAA guidelines and regulations and support for NWOS’s 19 Fundamentals.

Requirements

CPC (Certified Professional Coder) and/or COSC (Certified Orthopedic Surgery Coder) certification.
High school graduate or equivalent.
Knowledge of current ICD-10 and CPT guidelines.
Knowledge of medical terminology and human anatomy.
Strong written and oral communication skills.
Knowledge of computer systems and programs.
Knowledge of modern office equipment, including fax machines, copiers, and scanners.

Nice To Haves

At least 2 years of experience in a medical office, billing, or coding role; CPC or COSC certification may be considered in lieu of experience.

Responsibilities

Demonstrate, uphold, and educate staff on all 19 NWOS Fundamentals.
Coordinate with clinical staff to obtain complete charge information for all encounters.
Code procedures using appropriate CPT, ICD-10, and modifier codes.
Verify documentation and complete charge information to produce accurate billings according to organizational policies.
Work with staff to ensure accurate collection of insurance information, referrals, and payments.
Correct and resubmit claims as needed to ensure accurate payments.
Maintain required billing records, reports, and files.
Provide positive and professional customer service to patients, clerical staff, and insurance companies.
Identify and resolve patient billing complaints.
Keep accounts receivable current according to organizational benchmarks.
Adhere to HIPAA guidelines and regulations.