Multi-Specialty Pro-Fee Medical Coder (ortho)

Default GeBBS Healthcare Solutions•East Haven, CT

1d•Remote

About The Position

We are seeking highly experienced Orthopedic Medical Coders with current expertise in orthopedic coding to support a dynamic healthcare organization. This role requires coders who are actively coding orthopedics on a regular basis. The ideal candidate will be fully up to date on current orthopedic coding guidelines and comfortable providing coding feedback and education to orthopedic providers, particularly regarding bundling/unbundling rules, modifier usage, and coding compliance.

Requirements

Minimum 5 years of active, ongoing orthopedic coding experience
Current CPC (AAPC) or equivalent certification through AAPC or AHIMA
Extensive experience coding orthopedic services in POS 11, 21, and 22
Experience coding in-office procedures and orthopedic surgeries
Strong knowledge of billing edits, clearinghouse edits, and payer denials
Comfortable providing coding feedback and education to providers

Nice To Haves

CEMC certification
Experience with EPIC
Experience with Medicaid of California guidelines
Multi-specialty coding background

Responsibilities

Review provider-submitted coding in EPIC against clinical documentation
Resolve EPIC edits and recommend coding corrections to departments
Review provider-submitted coding and address clearinghouse rejections and claim edits
Recommend appropriate coding corrections based on documentation
Review post-bill denials and payer edits
Analyze documentation and recommend coding updates to resolve issues
Reviewing documentation to ensure coding accuracy and compliance
Working billing and coding edits, denials, and payer requirements
Providing coding guidance and feedback to orthopedic providers and departments