Certified Professional Coder

OrthoArizona • Peoria, AZ

2d • Onsite

About The Position

OrthoArizona is a comprehensive orthopedic practice serving all orthopedic and sports medicine needs in the Valley. We have a wide range of providers including orthopedic surgeons and mid-level providers, as well as physical and occupational therapists. We are one of Arizona’s largest privately owned orthopedic practices with over 80 providers across 30 locations and in-house state-of-the-art MRI capabilities. OrthoArizona is committed to best-in-class patient care, pioneering research and technology, and rewarding its team members.

Requirements

• Advanced understanding of anatomy, medical terminology, billing and coding regulations.
• Excellent knowledge of health insurance plans and benefits.
• Excellent knowledge of payer rules and guidelines.
• High school diploma or equivalent.
• Advanced knowledge of CPT and ICD-10.

Nice To Haves

• Current CPC Certificate.
• Previous Orthopedic Coding experience.
• Advanced understanding of anatomy, medical terminology, billing and coding regulations.

Responsibilities

• Read and understand Operative and/or Procedure notes.
• Apply CPT and ICD-10 codes to Operative reports.
• Communicate with providers regarding complex/unusual cases.
• Responsible for coding all daily office visits.
• Understand and follow billing/coding compliance and regulations.
• Understand concepts of unbundling and heeds government regulations.
• Understand insurance rules and regulations.
• Periodically audit chart notes.
• Training of Physicians, Mid-level providers, and Therapists on documentation requirements.
• Append modifiers as needed to claim.
• Verify signed ABNs on file.
• Understand patient confidentiality laws and regulations and ensure all proper releases are on file.
• Clearly and accurately documents all correspondence regarding an account.
• Respond promptly and appropriately to all email and telephone messages.
• Keep coding Lead/Supervisor informed of all concerns related to patient accounts.
• Compliance with HIPAA, OSHA, red flag rules.
• Prepare, review, and submit clean claims to insurance companies within timely filing limits.
• All other duties as assigned.

Benefits

• Robust paid time off package including, sick time, holidays, & paid time off!
• Medical with multiple different plan options.
• Health Savings account + company contributions.
• Dental & Vision insurance.
• Company paid life insurance policy + the option to purchase additional benefits to protect you from what life throws at you.
• 401(k) with a company contribution + profit sharing!
• Pet Discount Plan.
• ID Theft protection & Legal assistance.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED