Multi-Specialty Pro-Fee Medical Coder (ortho)
GeBBS Healthcare Solutions, Inc.•East Haven, CT
•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
- Demonstrate strong experience coding: Spinal injections / pain management procedures
- Demonstrate strong experience coding: Open fracture repair
- Demonstrate strong experience coding: Hand surgery, fracture care, and tendon repairs
- Demonstrate strong experience coding: Carpal tunnel release
- Demonstrate strong experience coding: Hardware removal procedures
- Demonstrate strong experience coding: Neuroplasty
- Demonstrate strong experience coding: Arthroscopy (shoulder, knee, hip)
- Demonstrate strong experience coding: Arthroplasty (shoulder, knee, hip)
- Demonstrate strong experience coding: Joint repairs
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
Benefits
- Remote work opportunity
- Work with a collaborative and highly specialized team
- Full suite of benefits for full-time employees
- Free CEU opportunities
- All equipment supplied
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees
